ELAINE L. DEVOS MD PC NPI 1821263906

NPI Information

NPI: 1821263906
Provider Name: ELAINE L. DEVOS MD PC
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
2511 WESLEY ST
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 854-9051
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ELAINE L. DEVOS MD PC is a rehabilitation practitioner in Johnson City, TN. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. ELAINE L. DEVOS MD PC NPI is 1821263906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2511 WESLEY ST
JOHNSON CITY, TN
ZIP 37601-723
Phone: (423) 854-9051

The provider's authorized official is Elaine L Devos .
The authorized official title is President and has the following contact phone number (423) 854-9051.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 12/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner		MD28462	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3040644	OTHER	TENNESSEE	BLUE CROSS
2	3805386	MEDICARE PIN	TENNESSEE
3	3805386	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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