Davis, Brandy Alexis
Davis, Brandy Alexis is an individual health care provider with primary practice located at 904 Holiday Dr Suite 406, Forrest City AR 72335-9183. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Brandy Alexis can be contacted via phone (870) 494-4000.Contact Information
Primary practice address
904 Holiday Dr Suite 406
Forrest City AR 72335-9183
Phone: (870) 494-4000
Fax: (870) 494-4033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E-4147 | Arkansas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37651 | Tennessee |
Profile Details
| NPI number | 1629027313 |
|---|---|
| LBN Legal business name | Davis, Brandy Alexis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Feb 14th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629027313 | NPPES |
| Other | 03100016100 | QUALCHOICE OF ARKANSAS | |
| Other | 5N098 | QUALCHOICE OF ARKANSAS | |
| MEDICAID | 150076001 | QUALCHOICE OF ARKANSAS |
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