Davenport, Richard Alan
Davenport, Richard Alan is an sole proprietor health care provider with primary practice located at 102 Hartmann Drive Suite G, #325, Lebanon TN 37087-2516. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Davenport, Richard Alan can be contacted via phone (615) 294-9911.Contact Information
Primary practice address
102 Hartmann Drive Suite G, #325
Lebanon TN 37087-2516
Phone: (615) 294-9911
Fax: (615) 444-0298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | 58326 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | APN0000009203 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1483A | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 3266 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1-117383 | Alabama |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 9280506 | Florida |
Profile Details
| NPI number | 1144334236 |
|---|---|
| LBN Legal business name | Davenport, Richard Alan |
| Credentials | C.R.N.A., M.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Dec 9th, 2010 - about 14 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 | 1144334236 | NPPES |
| Tennessee | Other | 36324201 | MEDICAID - NASHVILLE GEN. |
| Tennessee | Other | 36324201 | MEDICAID - NASHVILLE GEN. |
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