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
Phone: (877) 660-6777
Fax: (412) 359-8055
Website:
Health care specialties
| Specialty | Code | License # | 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 8 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 | 1295723989 | NPPES |
| Pennsylvania | MEDICAID | 101904848 |
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