Davis, Brian Adam
Davis, Brian Adam is an individual health care provider with primary practice located at 8930 W Sunset Rd Ste 140 , Las Vegas NV 89148-5009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Davis, Brian Adam can be contacted via phone (702) 968-3240.Contact Information
Primary practice address
8930 W Sunset Rd Ste 140
Las Vegas NV 89148-5009
Phone: (702) 968-3240
Fax: (702) 862-8227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | G85393 | California |
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | 20169 | Nevada |
Profile Details
| NPI number | 1760463830 |
|---|---|
| LBN Legal business name | Davis, Brian Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jan 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760463830 | NPPES |
| Nevada | Other | 20169 | STATE LICENSE |
| Nevada | MEDICAID | 00G853930 | STATE LICENSE |
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