Davis, Charles Donavan

Davis, Charles Donavan is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Davis, Charles Donavan can be contacted via phone (855) 446-5937.

Contact Information

Primary practice address
100 Jackson Pike Gallipolis OH 45631
Phone: (855) 446-5937
Fax: (740) 446-5711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.134233 Ohio

Profile Details

NPI number 1669869566
LBN Legal business name Davis, Charles Donavan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2015
Last updated Jan 21st, 2021 - about 4 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 1669869566 NPPES
Ohio MEDICAID 0311469

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