Davenport, David S

Davenport, David S is an individual health care provider with primary practice located at 1000 Oakland Dr , Kalamazoo MI 49008-1282. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Davenport, David S can be contacted via phone (269) 337-4300.

Contact Information

Primary practice address
1000 Oakland Dr Kalamazoo MI 49008-1282
Phone: (269) 337-4300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301043026 Michigan

Profile Details

NPI number 1972572972
LBN Legal business name Davenport, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 4th, 2013 - about 12 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 1972572972 NPPES
Other 1103909411 BCBS
MEDICAID 4184078 BCBS

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