Davenport, Ryan Kristopher

Davenport, Ryan Kristopher is an sole proprietor health care provider with primary practice located at 700 N Lake St #102, Mundelein IL 60060-1357. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Davenport, Ryan Kristopher can be contacted via phone (847) 949-0063.

Contact Information

Primary practice address
700 N Lake St #102 Mundelein IL 60060-1357
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 198.001118 Illinois

Profile Details

NPI number 1649518192
LBN Legal business name Davenport, Ryan Kristopher
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2013
Last updated Jan 17th, 2013 - about 12 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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