Phucas Davenport, Faline
Phucas Davenport, Faline is an sole proprietor health care provider with primary practice located at 7521 Virginia Oaks Dr Ste 230 , Gainesville VA 20155-3831. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Phucas Davenport, Faline can be contacted via phone (703) 754-7151.Contact Information
Primary practice address
7521 Virginia Oaks Dr Ste 230
Gainesville VA 20155-3831
Phone: (703) 754-7151
Fax: (703) 754-1784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 0401410720 | Virginia |
Profile Details
| NPI number | 1497764096 |
|---|---|
| LBN Legal business name | Phucas Davenport, Faline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | May 4th, 2010 - about 15 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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