Devine, Jennifer Michelle

Devine, Jennifer Michelle is an individual health care provider with primary practice located at 1740 Nw Maple St Suite 111, Issaquah WA 98027. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Devine, Jennifer Michelle can be contacted via phone (425) 394-1200.

Contact Information

Primary practice address
1740 Nw Maple St Suite 111 Issaquah WA 98027
Phone: (425) 394-1200
Fax: (425) 394-0100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 238264 Massachusetts
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD60246597 Washington

Profile Details

NPI number 1255527610
LBN Legal business name Devine, Jennifer Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Jun 27th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255527610 NPPES
Washington MEDICAID 2014424

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