Davern, Philip Paul
Davern, Philip Paul is an sole proprietor health care provider with primary practice located at 231 Chestnut St Suite 202, Meadville PA 16335-3442. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Davern, Philip Paul can be contacted via phone (814) 724-4021.Contact Information
Primary practice address
231 Chestnut St Suite 202
Meadville PA 16335-3442
Phone: (814) 724-4021
Fax: (814) 724-1193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS021336L | Pennsylvania |
Profile Details
| NPI number | 1629153226 |
|---|---|
| LBN Legal business name | Davern, Philip Paul |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1629153226 | NPPES |
| Pennsylvania | MEDICAID | 0007528290001 |
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