Devotta, Emmanuel
Devotta, Emmanuel is an individual health care provider with primary practice located at 4512 Kirkwood Hwy Suite 200, Wilmington DE 19808-5123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Devotta, Emmanuel can be contacted via phone (302) 998-2585.Contact Information
Primary practice address
4512 Kirkwood Hwy Suite 200
Wilmington DE 19808-5123
Phone: (302) 998-2585
Fax: (302) 998-3394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | C10002119 | Delaware |
Profile Details
| NPI number | 1083761258 |
|---|---|
| LBN Legal business name | Devotta, Emmanuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Apr 6th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083761258 | NPPES |
| Other | 050086512 | RAIL ROAD MEDICARE | |
| Other | 0100002000 | RAIL ROAD MEDICARE | |
| MEDICAID | 0000115501 | RAIL ROAD MEDICARE |
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