Davenport, Jerry M.

Davenport, Jerry M. is an individual health care provider with primary practice located at 306 W 5Th Ave Norton Sound Health Cooperation, Nome AK 99762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davenport, Jerry M. can be contacted via phone (907) 443-3214.

Contact Information

Primary practice address
306 W 5Th Ave Norton Sound Health Cooperation Nome AK 99762
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4105 Alaska

Profile Details

NPI number 1003935453
LBN Legal business name Davenport, Jerry M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jan 26th, 2011 - 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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