Davenport, John G

Davenport, John G is an individual health care provider with primary practice located at 6490 Excelsior Blvd Suite E500, St Louis Park MN 55426-4705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Davenport, John G can be contacted via phone (952) 993-7342.

Contact Information

Primary practice address
6490 Excelsior Blvd Suite E500 St Louis Park MN 55426-4705
Phone: (952) 993-7342
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 29542 Minnesota

Profile Details

NPI number 1205810488
LBN Legal business name Davenport, John G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 8th, 2007 - about 17 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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