Devries, Donald Fred

Devries, Donald Fred is an individual health care provider with primary practice located at 1011 E Main Ave Suite 302, Puyallup WA 98372-6775. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Devries, Donald Fred can be contacted via phone (253) 841-2471.

Contact Information

Primary practice address
1011 E Main Ave Suite 302 Puyallup WA 98372-6775
Phone: (253) 841-2471
Fax: (253) 841-2472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD00024699 Washington
Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy 207UN0902X MD00024699 Washington

Profile Details

NPI number 1790748549
LBN Legal business name Devries, Donald Fred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 22nd, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790748549 NPPES
Washington MEDICAID 1029032
Washington Other 0014041
Washington Other 110187011

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