Davenport, William J

Davenport, William J is an individual health care provider with primary practice located at 1500 E Sherman Blvd , Muskegon MI 49444-1849. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Davenport, William J can be contacted via phone (231) 672-3883.

Contact Information

Primary practice address
1500 E Sherman Blvd Muskegon MI 49444-1849
Phone: (231) 672-3883
Fax: (231) 672-3973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110001951 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601005653 Michigan

Profile Details

NPI number 1851323778
LBN Legal business name Davenport, William J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 20th, 2012 - about 12 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 1851323778 NPPES
Michigan Other 0N27530065 MEDICARE

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