Devito, Carolyn
Devito, Carolyn is an individual health care provider with primary practice located at 1300 University Ave , Morgantown WV 26505-5518. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Devito, Carolyn can be contacted via phone (304) 292-1764.Contact Information
Primary practice address
1300 University Ave
Morgantown WV 26505-5518
Phone: (304) 292-1764
Fax: (304) 292-1769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3213 | West Virginia |
Profile Details
| NPI number | 1366443327 |
|---|---|
| LBN Legal business name | Devito, Carolyn |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1366443327 | NPPES |
| West Virginia | MEDICAID | 0134470000 | |
| West Virginia | Other | 742267 |
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