Patton, Devon

Patton, Devon is an individual health care provider with primary practice located at 10450 185Th St W Ste 100 , Lakeville MN 55044-6696. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Patton, Devon can be contacted via phone (612) 509-1283.

Contact Information

Primary practice address
10450 185Th St W Ste 100 Lakeville MN 55044-6696
Phone: (612) 509-1283
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1174112775
LBN Legal business name Patton, Devon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2021
Last updated Jan 18th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174112775 NPPES
Minnesota MEDICAID 1588993091

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