Davanzo, Robert John
Davanzo, Robert John is an individual health care provider with primary practice located at 307 N. Lindsay St , High Point NC 27262-4827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Davanzo, Robert John can be contacted via phone (336) 802-2020.Contact Information
Primary practice address
307 N. Lindsay St
High Point NC 27262-4827
Phone: (336) 802-2020
Fax: (336) 802-2021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 9801228 | North Carolina |
Profile Details
| NPI number | 1558305987 |
|---|---|
| LBN Legal business name | Davanzo, Robert John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jun 25th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558305987 | NPPES |
| North Carolina | MEDICAID | 89130A8 | |
| North Carolina | Other | CB8658 | |
| North Carolina | Other | 180043411 |
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