Davis, Christine M
Davis, Christine M is an sole proprietor health care provider with primary practice located at 955 Pierremont Rd Ste 400 , Shreveport LA 71106-2096. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Davis, Christine M can be contacted via phone (318) 868-6118.Contact Information
Primary practice address
955 Pierremont Rd Ste 400
Shreveport LA 71106-2096
Phone: (318) 868-6118
Fax: (318) 666-9927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1892-828AT | Louisiana |
Profile Details
| NPI number | 1033182183 |
|---|---|
| LBN Legal business name | Davis, Christine M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Oct 19th, 2020 - about 6 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 | 1033182183 | NPPES |
| Louisiana | MEDICAID | 2505882 | |
| Louisiana | Other | 847833 |
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