Davenport, Leamon L.
Davenport, Leamon L. is an individual health care provider with primary practice located at 30 Medical Center Blvd Suite 205, Upland PA 19013-3955. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Davenport, Leamon L. can be contacted via phone (610) 619-7410.Contact Information
Primary practice address
30 Medical Center Blvd Suite 205
Upland PA 19013-3955
Phone: (610) 619-7410
Fax: (610) 876-8483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MB08546500 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A123303 | New Mexico |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS017399 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MB08546500 | New Jersey |
Profile Details
| NPI number | 1649230525 |
|---|---|
| LBN Legal business name | Davenport, Leamon L. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | May 27th, 2015 - about 11 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 | 1649230525 | NPPES |
| New Mexico | MEDICAID | 43670083 | |
| New Mexico | MEDICAID | 807919 |
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