Davenport, Stephanie Anne
Davenport, Stephanie Anne is an sole proprietor health care provider with primary practice located at 44201 Dequindre Rd , Troy MI 48085-1117. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Davenport, Stephanie Anne can be contacted via phone (248) 964-4866.Contact Information
Primary practice address
44201 Dequindre Rd
Troy MI 48085-1117
Phone: (248) 964-4866
Fax: (248) 964-4848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1003862186 |
|---|---|
| LBN Legal business name | Davenport, Stephanie Anne |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2006 |
| Last updated | Jul 15th, 2022 - about 2 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 | 1003862186 | NPPES |
| Michigan | Other | 1054094 | NCCPA CERTIFICATE NUMBER |
| Michigan | Other | 0E00425 | NCCPA CERTIFICATE NUMBER |
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