Davis, Brian Keith

Davis, Brian Keith is an sole proprietor health care provider with primary practice located at 12178 Highway 49 Ste F , Gulfport MS 39503-3170. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Davis, Brian Keith can be contacted via phone (228) 831-8181.

Contact Information

Primary practice address
12178 Highway 49 Ste F Gulfport MS 39503-3170
Phone: (228) 831-8181
Fax: (228) 831-8182
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 780 Mississippi

Profile Details

NPI number 1306854443
LBN Legal business name Davis, Brian Keith
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2013 - about 13 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 1306854443 NPPES
Mississippi MEDICAID 00120377
Mississippi Other 5220674

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