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Contact Information

COLIN D DAVENPORT
429 E VERMONT ST STE 110
INDIANAPOLIS, IN46202-3685
 Phone: 317-559-0850
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for COLIN D DAVENPORT · (Male)

NPI Number 1598545360
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2023
Last updated 04/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IN License # 71016312A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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