Davis, Catherine Virginia

Davis, Catherine Virginia is an individual health care provider with primary practice located at 500 Doyle Park Dr Ste G03, Santa Rosa CA 95405-4559. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Davis, Catherine Virginia can be contacted via phone (707) 544-3411.

Contact Information

Primary practice address
500 Doyle Park Dr Ste G03 Santa Rosa CA 95405-4559
Phone: (707) 544-3411
Fax: (707) 544-0834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G70242 California

Profile Details

NPI number 1497748776
LBN Legal business name Davis, Catherine Virginia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Oct 21st, 2021 - about 5 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 1497748776 NPPES
California MEDICAID 00G702420
California Other 00G702420
California Other P00420857

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