Davis, Anthony Jacob

Davis, Anthony Jacob is an individual health care provider with primary practice located at 4611 Mortensen Rd Suite 103, Ames IA 50014-6227. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Davis, Anthony Jacob can be contacted via phone (515) 292-4988.

Contact Information

Primary practice address
4611 Mortensen Rd Suite 103 Ames IA 50014-6227
Phone: (515) 292-4988
Fax: (515) 292-4980
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 06450 Iowa

Profile Details

NPI number 1336194885
LBN Legal business name Davis, Anthony Jacob
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 9th, 2007 - about 19 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 1336194885 NPPES
Iowa Other 45194 WELLMARK BC/BS OF IOWA
Iowa MEDICAID 0265934 WELLMARK BC/BS OF IOWA

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