Davenport, Philip Aaron

Davenport, Philip Aaron is an individual health care provider with primary practice located at 301 Riverview Ave Ste 202 , Norfolk VA 23510-1065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Davenport, Philip Aaron can be contacted via phone (757) 252-9015.

Contact Information

Primary practice address
301 Riverview Ave Ste 202 Norfolk VA 23510-1065
Phone: (757) 252-9015
Fax: (757) 510-9041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2009-02034 North Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 0101052402 Virginia

Profile Details

NPI number 1659342806
LBN Legal business name Davenport, Philip Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jun 11th, 2024 - about 3 months 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 1659342806 NPPES
Virginia MEDICAID 6104487

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