Odineal, David Devaul

Odineal, David Devaul is an individual health care provider with primary practice located at 7973 W Destiny Blvd , Fort Campbell KY 42223-5429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Odineal, David Devaul can be contacted via phone (270) 798-4677.

Contact Information

Primary practice address
7973 W Destiny Blvd Fort Campbell KY 42223-5429
Phone: (270) 798-4677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 7462220 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 65771 Tennessee

Profile Details

NPI number 1023539160
LBN Legal business name Odineal, David Devaul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2017
Last updated Sep 19th, 2022 - about 2 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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