Davis, Andrew Brian

Davis, Andrew Brian is an individual health care provider with primary practice located at 225000 Hummingbird Rd Ste 100 , Wausau WI 54401-2950. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Davis, Andrew Brian can be contacted via phone (715) 359-6442.

Contact Information

Primary practice address
225000 Hummingbird Rd Ste 100 Wausau WI 54401-2950
Phone: (715) 359-6442
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9563024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 279039 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9563-24 Wisconsin

Profile Details

NPI number 1780627083
LBN Legal business name Davis, Andrew Brian
Credentials MSPT LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780627083 NPPES
Wisconsin MEDICAID 41810500
Wisconsin Other 69530

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