Davenport, Amanda Sue

Davenport, Amanda Sue is an individual health care provider with primary practice located at 301 Gordon Gutmann Blvd Suite 201, Jeffersonville IN 47130-3764. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Davenport, Amanda Sue can be contacted via phone (812) 282-6114.

Contact Information

Primary practice address
301 Gordon Gutmann Blvd Suite 201 Jeffersonville IN 47130-3764
Phone: (812) 282-6114
Fax: (812) 280-2142
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 47103 Kentucky

Profile Details

NPI number 1578883302
LBN Legal business name Davenport, Amanda Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2010
Last updated May 23rd, 2019 - about 5 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 1578883302 NPPES
Indiana Other 01076341A MD LICENSURE
Indiana Other 47103 MD LICENSURE

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