Devlin, Jeanine G

Devlin, Jeanine G is an individual health care provider with primary practice located at 7901 Bustleton Ave Suite 100, Philadelphia PA 19152-3328. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Devlin, Jeanine G can be contacted via phone (215) 742-7890.

Contact Information

Primary practice address
7901 Bustleton Ave Suite 100 Philadelphia PA 19152-3328
Fax: (215) 742-7862
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD072933L Pennsylvania

Profile Details

NPI number 1356343354
LBN Legal business name Devlin, Jeanine G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Apr 1st, 2008 - about 18 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 1356343354 NPPES
Pennsylvania MEDICAID 0019091350001

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