Davenport, David Gregory
Davenport, David Gregory is an sole proprietor health care provider with primary practice located at 2751 Debarr Rd Suite 390, Anchorage AK 99508-2952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Davenport, David Gregory can be contacted via phone (907) 792-7920.Contact Information
Primary practice address
2751 Debarr Rd Suite 390
Anchorage AK 99508-2952
Phone: (907) 792-7920
Fax: (907) 792-7901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | E1817 | Arkansas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 6038 | Alaska |
Profile Details
| NPI number | 1174511919 |
|---|---|
| LBN Legal business name | Davenport, David Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Feb 5th, 2013 - about 11 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 | 1174511919 | NPPES |
| Arkansas | MEDICAID | 141610001 |
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