Davanzo, Robert John

Davanzo, Robert John is an individual health care provider with primary practice located at 307 N. Lindsay St , High Point NC 27262-4827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Davanzo, Robert John can be contacted via phone (336) 802-2020.

Contact Information

Primary practice address
307 N. Lindsay St High Point NC 27262-4827
Fax: (336) 802-2021
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9801228 North Carolina

Profile Details

NPI number 1558305987
LBN Legal business name Davanzo, Robert John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 25th, 2009 - about 16 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 1558305987 NPPES
North Carolina MEDICAID 89130A8
North Carolina Other CB8658
North Carolina Other 180043411

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