Davies, Cody Justin

Davies, Cody Justin is an sole proprietor health care provider with primary practice located at 520 S Eagle Rd Ste 1234 , Meridian ID 83642-6355. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Davies, Cody Justin can be contacted via phone (208) 429-0300.

Contact Information

Primary practice address
520 S Eagle Rd Ste 1234 Meridian ID 83642-6355
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201393795NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1586A Idaho

Profile Details

NPI number 1417377870
LBN Legal business name Davies, Cody Justin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2014
Last updated Feb 27th, 2023 - about 2 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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