Davenport, Sherron Linda

Davenport, Sherron Linda is an individual health care provider with primary practice located at 751 E Grand Blvd , Detroit MI 48207-2529. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Davenport, Sherron Linda can be contacted via phone (313) 922-2222.

Contact Information

Primary practice address
751 E Grand Blvd Detroit MI 48207-2529
Phone: (313) 922-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4703042150 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4703042150 Michigan

Profile Details

NPI number 1396861589
LBN Legal business name Davenport, Sherron Linda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 17 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 1396861589 NPPES
Michigan Other 4703042150 NURSING

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