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Contact Information

STEPHANIE A DAVENPORT, PAC
44201 DEQUINDRE RD
TROY, MI48085-1117
 Phone: 248-964-4866
 Fax: 248-964-4848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STEPHANIE A DAVENPORT · (Female)

NPI Number 1003862186
Status Active
Credentials PAC
Entity Individual
Enumeration date 05/26/2006
Last updated 07/15/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MI Other 0E00425 BCBSM
  • MI Other 1054094 NCCPA CERTIFICATE NUMBER
Hospital affiliation(s)
  • WILLIAM BEAUMONT HOSPITAL-TROY - (Acute Care)
    44201 DEQUINDRE ROAD
    TROY, MI 48085
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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