Mark Davanzo Md Llc

LBN: Mark Davanzo Md Llc
Mark Davanzo Md Llc is an health care organization with primary practice located at 477 Cooper Road Suite 440, Westerville OH 43081-8053. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Mark Davanzo Md Llc can be contacted via phone (614) 898-5520, or through Davanzo, Mark E. via phone (614) 898-5561.

Contact Information

Primary practice address
477 Cooper Road Suite 440 Westerville OH 43081-8053
Phone: (614) 898-5520
Fax: (614) 898-5563
Website:
Map and Directions
Authorized official contact:
Name: Davanzo, Mark E. Doctor of Medicine (MD)
Phone: (614) 898-5561

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35042997 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X Ohio

Profile Details

NPI number 1548406556
LBN Legal business name Mark Davanzo Md Llc
DBA Doing business as
Authorized official Davanzo, Mark E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2008
Last updated Feb 18th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548406556 NPPES
Ohio Other DP3368 RR MEDICARE

Popular Providers