Davenport, Jillian Renee
Davenport, Jillian Renee is an individual health care provider with primary practice located at 7700 Morro Rd , Atascadero CA 93422-4435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Davenport, Jillian Renee can be contacted via phone (805) 466-6622.Contact Information
Primary practice address
7700 Morro Rd
Atascadero CA 93422-4435
Phone: (805) 466-6622
Fax: (805) 461-0361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A140588 | California |
Profile Details
| NPI number | 1093133340 |
|---|---|
| LBN Legal business name | Davenport, Jillian Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2014 |
| Last updated | Feb 22nd, 2024 - about 10 months 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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