Davies, Colton D

Davies, Colton D is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Cardiothoracic Surgery, Milwaukee WI 53226-4874. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Davies, Colton D can be contacted via phone (414) 266-2380.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Cardiothoracic Surgery Milwaukee WI 53226-4874
Fax: (414) 266-2294
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3973 Wisconsin

Profile Details

NPI number 1659755866
LBN Legal business name Davies, Colton D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2015
Last updated Jan 8th, 2024 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659755866 NPPES
Wisconsin MEDICAID 1659755866

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