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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023374006 NPPES
Colorado MEDICAID 9000174722
Colorado Other 029082

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