Dever, Sara Ines
Dever, Sara Ines is an individual health care provider with primary practice located at 55 Walls Dr Ste 405 , Fairfield CT 06824-5163. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Dever, Sara Ines can be contacted via phone (203) 259-7070.Contact Information
Primary practice address
55 Walls Dr Ste 405
Fairfield CT 06824-5163
Phone: (203) 259-7070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 046434 | Connecticut |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 046434 | Connecticut |
Profile Details
| NPI number | 1992990535 |
|---|---|
| LBN Legal business name | Dever, Sara Ines |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2007 |
| Last updated | Apr 24th, 2019 - about 7 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 | 1992990535 | NPPES |
| Connecticut | MEDICAID | 001464346 |
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