Provider Demographics
NPI:1568442515
Name:DEVLIN, NED PETER (DC)
Entity Type:Individual
Prefix:DR
First Name:NED
Middle Name:PETER
Last Name:DEVLIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 BERKSHIRE BLVD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1260
Mailing Address - Country:US
Mailing Address - Phone:610-236-0200
Mailing Address - Fax:610-373-6166
Practice Address - Street 1:999 BERKSHIRE BLVD
Practice Address - Street 2:SUITE 260
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1260
Practice Address - Country:US
Practice Address - Phone:610-236-0200
Practice Address - Fax:610-685-6555
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2022-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-006459-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01566793Medicaid
PA1000071OtherAMERICAN SPECIALTY HEALTH
PA3675836OtherCIGNA
PA855233OtherHIGHMARK BLUE SHIELD
PA1039987OtherAETNA HMO ID#
PA03086900OtherCAPITAL BLUE CROSS GROUP
PA1038798OtherAETNA HMO GROUP #
PA02160501OtherCAPITAL BLUE CROSS INDIV
PA5478575OtherAETNA PPO ID#
PA02160501OtherCAPITAL BLUE CROSS INDIV
PA01566793Medicaid