Davenport, Mark Rogers
Davenport, Mark Rogers is an sole proprietor health care provider with primary practice located at 1027 E Main St , Morristown TN 37814-6632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Davenport, Mark Rogers can be contacted via phone (423) 581-5984.Contact Information
Primary practice address
1027 E Main St
Morristown TN 37814-6632
Phone: (423) 581-5984
Fax: (423) 581-0984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD0000026233 | Tennessee |
Profile Details
| NPI number | 1952303315 |
|---|---|
| LBN Legal business name | Davenport, Mark Rogers |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Mar 5th, 2013 - about 13 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 | 1952303315 | NPPES |
| Tennessee | MEDICAID | 3089699 |
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