Davenport, Moira

Davenport, Moira is an individual health care provider with primary practice located at 1307 Federal St 2Nd Floor, Pittsburgh PA 15212-4769. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Davenport, Moira can be contacted via phone (877) 660-6777.

Contact Information

Primary practice address
1307 Federal St 2Nd Floor Pittsburgh PA 15212-4769
Fax: (412) 359-8055
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X MD425442 Pennsylvania

Profile Details

NPI number 1295723989
LBN Legal business name Davenport, Moira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jan 12th, 2017 - about 7 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 1295723989 NPPES
Pennsylvania MEDICAID 101904848

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