Davenport, Michael Thomas
Davenport, Michael Thomas is an individual health care provider with primary practice located at 2045 N Franklin St , Denver CO 80205-5437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Davenport, Michael Thomas can be contacted via phone (303) 338-4545.Contact Information
Primary practice address
2045 N Franklin St
Denver CO 80205-5437
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | DR.0062446 | Colorado |
Profile Details
NPI number | 1023374006 |
---|---|
LBN Legal business name | Davenport, Michael Thomas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 4th, 2012 |
Last updated | Mar 29th, 2021 - about 3 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 | 1023374006 | NPPES |
Colorado | MEDICAID | 9000174722 | |
Colorado | Other | 029082 |
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