Christopher James Devlin, CFA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

48417-020 Issued in WI

Practice address

3221 Stein Blvd
Eau Claire, WI 54701-4398

Phone

(715) 514-2550

Fax

(715) 514-2558

NPI assigned

Oct 1, 2010

Last updated

Oct 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1164731543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 STEIN BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014398",
            "telephone_number": "715-514-2550",
            "fax_number": "715-514-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 STEIN BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014398",
            "telephone_number": "715-514-2550",
            "fax_number": "715-514-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "CFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "WI",
            "license": "48417-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34672400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Dervetski
• Kiel Steven Desjarlais
• Kyle James Dettbarn, MD
• Brandon R. Devine, D.C.
• Robert Devine, DC
• Nicholas Dewerd, DPT
• Travis Scott Dewitt, CPSS
• Donn David Dexter, MD
• Nicole Deziel, LPC
• Diaspora Radiology, SC (Diaspora Radiology dba Smart Scan Medical Imaging)

• Surgical Technologist in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Surgical Technologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.