Devine, Kurt M
Devine, Kurt M is an individual health care provider with primary practice located at 1908 Kruchten Ct S , Sartell MN 56377-4645. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Devine, Kurt M can be contacted via phone (320) 774-1080.Contact Information
Primary practice address
1908 Kruchten Ct S
Sartell MN 56377-4645
Phone: (320) 774-1080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 33505 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 33505 | Minnesota |
Profile Details
| NPI number | 1457377657 |
|---|---|
| LBN Legal business name | Devine, Kurt M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Apr 15th, 2021 - about 4 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 | 1457377657 | NPPES |
| Minnesota | Other | 28638DE | BCBS OF MINNESOTA |
| Minnesota | Other | A003 | BCBS OF MINNESOTA |
| Minnesota | Other | 107207C736 | BCBS OF MINNESOTA |
| Minnesota | Other | 080056694 | BCBS OF MINNESOTA |
| Minnesota | MEDICAID | 097702100 | BCBS OF MINNESOTA |
| Minnesota | Other | NA9230454502 | BCBS OF MINNESOTA |
| Minnesota | Other | 0120122 | BCBS OF MINNESOTA |
| Minnesota | Other | HP10317 | BCBS OF MINNESOTA |
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