Davis, Charles Reese

Davis, Charles Reese is an individual health care provider with primary practice located at 4252 S Highland Dr Ste 200 , Holladay UT 84124-2690. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davis, Charles Reese can be contacted via phone (801) 965-3600.

Contact Information

Primary practice address
4252 S Highland Dr Ste 200 Holladay UT 84124-2690
Phone: (801) 965-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 241883 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 6463025-1205 Utah

Profile Details

NPI number 1326136565
LBN Legal business name Davis, Charles Reese
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Sep 25th, 2023 - about 3 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 1326136565 NPPES
Utah MEDICAID 1265638357

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