Davoren, Michael P

Davoren, Michael P is an individual health care provider with primary practice located at 20375 W 151St St Suite 463, Olathe KS 66061-7218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davoren, Michael P can be contacted via phone (913) 782-8577.

Contact Information

Primary practice address
20375 W 151St St Suite 463 Olathe KS 66061-7218
Phone: (913) 782-8577
Fax: (913) 782-2616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0425580 Kansas

Profile Details

NPI number 1376694927
LBN Legal business name Davoren, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Dec 8th, 2014 - about 11 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 1376694927 NPPES
Other P00067790 RAILROAD MEDICARE
MEDICAID 100421010C RAILROAD MEDICARE
Other 32810013 RAILROAD MEDICARE
Other 7357335 RAILROAD MEDICARE

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