Davanzo, Mark E

Davanzo, Mark E is an sole proprietor health care provider with primary practice located at 477 Cooper Rd Suite 440, Westerville OH 43081-8053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davanzo, Mark E can be contacted via phone (380) 898-5561.

Contact Information

Primary practice address
477 Cooper Rd Suite 440 Westerville OH 43081-8053
Phone: (380) 898-5561
Fax: (380) 898-5563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35051847 Ohio

Profile Details

NPI number 1689618118
LBN Legal business name Davanzo, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Mar 28th, 2019 - about 6 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 1689618118 NPPES
Ohio Other P00880716 RR MEDICARE
Ohio MEDICAID 2986050 RR MEDICARE

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