Active NPIIndividual providerSole proprietor

Joseph R Davenport II

Specialist/Technologist, Athletic Trainer in Gorham, Maine

NPI Number1770067647
Practice location
37 College Ave, Gorham, ME 04038-1032
Fax
—
Last updated
September 18, 2018

Joseph Rand Davenport is a Specialist/Technologist, Athletic Trainer based in Gorham, ME. Joseph Rand Davenport practices in Gorham, ME. The NPI Number for Joseph Rand Davenport is 1770067647. The current practice location address for Joseph Rand Davenport is 37 College Ave, Gorham, ME 04038-1032 and can be reached out via phone at 207-780-5659.

Provider Profile Details

NPI Number
1770067647
Provider Name
Joseph Rand Davenport
Provider Entity Type
Individual
Gender
Male
Address
37 College Ave, Gorham, ME 04038-1032
Phone Number
207-780-5659
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
September 18, 2018
Last Update Date
September 18, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 College Ave
Gorham, ME 04038-1032
City
Gorham
State
Maine
Zip
04038-1032
Phone Number
207-780-5659
Gorham, ME 04038Get directions →

Provider Business Mailing Address Details

Address
254 Danforth St Apt 3
Portland, ME 04102-5130
City
Portland
State
ME
Zip
04102-5130
Phone Number
207-210-8515

License Information

Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Joseph R Davenport II?

The NPI number of Joseph R Davenport II is 1770067647. It was assigned on September 18, 2018 and is currently active in the NPPES registry.

What is the specialty of Joseph R Davenport II?

Joseph R Davenport II is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X).

Where does Joseph R Davenport II practice?

The practice location is 37 College Ave, Gorham, ME 04038-1032. The office can be reached at 207-780-5659 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770067647 directly on the NPPES registry website.

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