Devotta, Emmanuel

Devotta, Emmanuel is an individual health care provider with primary practice located at 4512 Kirkwood Hwy Suite 200, Wilmington DE 19808-5123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Devotta, Emmanuel can be contacted via phone (302) 998-2585.

Contact Information

Primary practice address
4512 Kirkwood Hwy Suite 200 Wilmington DE 19808-5123
Phone: (302) 998-2585
Fax: (302) 998-3394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X C10002119 Delaware

Profile Details

NPI number 1083761258
LBN Legal business name Devotta, Emmanuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Apr 6th, 2015 - about 11 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 1083761258 NPPES
Other 050086512 RAIL ROAD MEDICARE
Other 0100002000 RAIL ROAD MEDICARE
MEDICAID 0000115501 RAIL ROAD MEDICARE

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