Davanzo, Joseph Gregory

Davanzo, Joseph Gregory is an individual health care provider with primary practice located at 18306 Middlebelt Rd , Livonia MI 48152-5007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Davanzo, Joseph Gregory can be contacted via phone (247) 477-2360.

Contact Information

Primary practice address
18306 Middlebelt Rd Livonia MI 48152-5007
Phone: (247) 477-2360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 5101007347 Michigan

Profile Details

NPI number 1346298593
LBN Legal business name Davanzo, Joseph Gregory
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Sep 21st, 2023 - about 3 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 1346298593 NPPES
Michigan MEDICAID 111929666
Michigan Other 5820258
Michigan Other B7450
Michigan Other 5820258

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