Devine, William W

Devine, William W is an individual health care provider with primary practice located at 901 4Th St Nw , Watertown SD 57201-1558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Devine, William W can be contacted via phone (605) 886-8471.

Contact Information

Primary practice address
901 4Th St Nw Watertown SD 57201-1558
Phone: (605) 886-8471
Fax: (605) 886-9317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4393 South Dakota

Profile Details

NPI number 1376522854
LBN Legal business name Devine, William W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Mar 29th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376522854 NPPES
South Dakota MEDICAID 5610332

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