Devries, Brent C

Devries, Brent C is an individual health care provider with primary practice located at 2940 N Mccord Rd , Toledo OH 43615-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Devries, Brent C can be contacted via phone (419) 842-3000.

Contact Information

Primary practice address
2940 N Mccord Rd Toledo OH 43615-1753
Phone: (419) 842-3000
Fax: (419) 842-3048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5101013263 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 34006461D Ohio

Profile Details

NPI number 1588667323
LBN Legal business name Devries, Brent C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Nov 3rd, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588667323 NPPES
Ohio MEDICAID 2005403
Ohio Other P00711892

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