Davenport, James Alexander
Davenport, James Alexander is an sole proprietor health care provider with primary practice located at 2418 E Plaza Dr , Tallahassee FL 32308-5301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Davenport, James Alexander can be contacted via phone (850) 656-1997.Contact Information
Primary practice address
2418 E Plaza Dr
Tallahassee FL 32308-5301
Phone: (850) 656-1997
Fax: (850) 656-1936
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME25681 | Florida |
Profile Details
NPI number | 1760435002 |
---|---|
LBN Legal business name | Davenport, James Alexander |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 18th, 2006 |
Last updated | Feb 2nd, 2010 - about 15 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 | 1760435002 | NPPES |
Florida | MEDICAID | 059400800 |
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