Devries, Thomas
Devries, Thomas is an individual health care provider with primary practice located at 110 Liberty St Ste 1A , Brockton MA 02301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Devries, Thomas can be contacted via phone (508) 565-0232.Contact Information
Primary practice address
110 Liberty St Ste 1A
Brockton MA 02301
Phone: (508) 565-0232
Fax: (508) 894-0757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5747 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 280645 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 67371 | Wisconsin |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2080S0010X | 280645 | Massachusetts |
Profile Details
| NPI number | 1518353820 |
|---|---|
| LBN Legal business name | Devries, Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2015 |
| Last updated | Nov 23rd, 2020 - about 5 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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