Davis, A. Jill

Davis, A. Jill is an individual health care provider with primary practice located at 801 Hazelwest Dr , Hazelwood MO 63042-1754. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, A. Jill can be contacted via phone (314) 919-2700.

Contact Information

Primary practice address
801 Hazelwest Dr Hazelwood MO 63042-1754
Phone: (314) 919-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2008007440 Missouri

Profile Details

NPI number 1831382431
LBN Legal business name Davis, A. Jill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2007
Last updated Jun 21st, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831382431 NPPES
Missouri MEDICAID 1831382431
Missouri Other P01128467
Missouri MEDICAID 02908107

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