Davenport, Mary Gwen

Davenport, Mary Gwen is an individual health care provider with primary practice located at Comdt Cg-1122 Us Coast Guard 2100 2Nd St Sw, Suite 5314, Washington DC 20593-0001. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Davenport, Mary Gwen can be contacted via phone (671) 355-4885.

Contact Information

Primary practice address
Comdt Cg-1122 Us Coast Guard 2100 2Nd St Sw, Suite 5314 Washington DC 20593-0001
Phone: (671) 355-4885
Fax: (671) 355-4928
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1265559009
LBN Legal business name Davenport, Mary Gwen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Apr 20th, 2008 - 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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