Devore, Philip Charles

Devore, Philip Charles is an individual health care provider with primary practice located at 115 E Main St , North East PA 16428-1330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Devore, Philip Charles can be contacted via phone (814) 725-8774.

Contact Information

Primary practice address
115 E Main St North East PA 16428-1330
Phone: (814) 725-8774
Fax: (814) 725-2391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X BD8592594 Pennsylvania

Profile Details

NPI number 1366409062
LBN Legal business name Devore, Philip Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Sep 14th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366409062 NPPES
Pennsylvania MEDICAID 1013007010001
Pennsylvania Other DE1749598

Popular Providers