Devine, Thomas D

Devine, Thomas D is an individual health care provider with primary practice located at 2000 Roosevelt Rd Ste 5, Valparaiso IN 46383-2800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Devine, Thomas D can be contacted via phone (219) 464-2123.

Contact Information

Primary practice address
2000 Roosevelt Rd Ste 5 Valparaiso IN 46383-2800
Phone: (219) 464-2123
Fax: (219) 465-0032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01054517A Indiana

Profile Details

NPI number 1942204508
LBN Legal business name Devine, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Mar 30th, 2011 - about 15 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 1942204508 NPPES
Indiana MEDICAID 200148470
Indiana MEDICAID 200148470A

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