Davenport, Matthew Lester
Davenport, Matthew Lester is an individual health care provider with primary practice located at Bldg 301 Andrews Ave Lyster Army Health Clinic, Fort Rucker AL 36362-5333. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. Davenport, Matthew Lester can be contacted via phone (335) 255-6919.Contact Information
Primary practice address
Bldg 301 Andrews Ave Lyster Army Health Clinic
Fort Rucker AL 36362-5333
Phone: (335) 255-6919
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | E1714562 | Texas |
Profile Details
| NPI number | 1053831156 |
|---|---|
| LBN Legal business name | Davenport, Matthew Lester |
| Credentials | NREMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2017 |
| Last updated | Jul 21st, 2022 - about 2 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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