Davenport, Erik C.J

Davenport, Erik C.J is an individual health care provider with primary practice located at 2500 Grant Road , Mountain View CA 94040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Davenport, Erik C.J can be contacted via phone (650) 940-7055.

Contact Information

Primary practice address
2500 Grant Road Mountain View CA 94040
Phone: (650) 940-7055
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A62215 California

Profile Details

NPI number 1598702714
LBN Legal business name Davenport, Erik C.J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Nov 21st, 2007 - about 18 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 1598702714 NPPES
California MEDICAID 00A622150

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