Davanzo, Justin Richard

Davanzo, Justin Richard is an individual health care provider with primary practice located at 2580 Haymaker Rd Ste 106 , Monroeville PA 15146-3500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Davanzo, Justin Richard can be contacted via phone (412) 858-7766.

Contact Information

Primary practice address
2580 Haymaker Rd Ste 106 Monroeville PA 15146-3500
Phone: (412) 858-7766
Fax: (412) 858-7769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD457862 Pennsylvania

Profile Details

NPI number 1114269545
LBN Legal business name Davanzo, Justin Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2013
Last updated Oct 1st, 2020 - about 4 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 1114269545 NPPES
Other 14653990 CAQH

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