Davenport, Elaine Blanche

Davenport, Elaine Blanche is an individual health care provider with primary practice located at 5905 O St , Lincoln NE 68510-2235. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Nursing Service Related Providers / Attendant Care Provider. Nursing Service Related Providers / Attendant Care Provider is her primary health care specialty. Davenport, Elaine Blanche can be contacted via phone (402) 436-1000.

Contact Information

Primary practice address
5905 O St Lincoln NE 68510-2235
Phone: (402) 436-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1274 Nebraska
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1437494952
LBN Legal business name Davenport, Elaine Blanche
Credentials M.S. SPEECH PATHOLO
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2012
Last updated Jan 26th, 2023 - about last year

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 1437494952 NPPES
Nebraska MEDICAID 47065477700

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