Devine, Amber D
Devine, Amber D is an individual health care provider with primary practice located at 7401 104Th Ave Suite 110, Kenosha WI 53142-7845. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Devine, Amber D can be contacted via phone (262) 764-5595.Contact Information
Primary practice address
7401 104Th Ave Suite 110
Kenosha WI 53142-7845
Phone: (262) 764-5595
Fax: (262) 764-9314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2180-023 | Wisconsin |
Profile Details
| NPI number | 1053520544 |
|---|---|
| LBN Legal business name | Devine, Amber D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Sep 19th, 2018 - about 8 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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