Depner, Devin G
Depner, Devin G is an individual health care provider with primary practice located at 2576 Brodhead Rd , Aliquippa PA 15001-4380. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Depner, Devin G can be contacted via phone (724) 378-8585.Contact Information
Primary practice address
2576 Brodhead Rd
Aliquippa PA 15001-4380
Phone: (724) 378-8585
Fax: (724) 375-1574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000767 | Pennsylvania |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OEG000767 | Pennsylvania |
Profile Details
| NPI number | 1679547335 |
|---|---|
| LBN Legal business name | Depner, Devin G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Apr 2nd, 2014 - about 12 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 | 1679547335 | NPPES |
| Pennsylvania | MEDICAID | 0019390180001 | |
| Pennsylvania | Other | 1450497 |
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