Devries, Thomas

Devries, Thomas is an individual health care provider with primary practice located at 110 Liberty St Ste 1A , Brockton MA 02301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Devries, Thomas can be contacted via phone (508) 565-0232.

Contact Information

Primary practice address
110 Liberty St Ste 1A Brockton MA 02301
Fax: (508) 894-0757
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5747 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 280645 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 67371 Wisconsin
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X 280645 Massachusetts

Profile Details

NPI number 1518353820
LBN Legal business name Devries, Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2015
Last updated Nov 23rd, 2020 - about 5 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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