Daven, Joel R
Daven, Joel R is an sole proprietor health care provider with primary practice located at 1813 W Harvard Ave Suite 206, Roseburg OR 97470-2752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Daven, Joel R can be contacted via phone (541) 677-3466.Contact Information
Primary practice address
1813 W Harvard Ave Suite 206
Roseburg OR 97470-2752
Phone: (541) 677-3466
Fax: (541) 672-1324
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | MD16514 | Oregon |
Profile Details
NPI number | 1851436760 |
---|---|
LBN Legal business name | Daven, Joel R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 20th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851436760 | NPPES |
Oregon | MEDICAID | 007216 |
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