Davis, Damon
Davis, Damon is an individual health care provider with primary practice located at 2900 Hannah Blvd Suite 104, East Lansing MI 48823-5384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Davis, Damon can be contacted via phone (517) 363-8118.Contact Information
Primary practice address
2900 Hannah Blvd Suite 104
East Lansing MI 48823-5384
Phone: (517) 363-8118
Fax: (517) 364-8119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | D0066799 | Maryland |
Profile Details
| NPI number | 1437275641 |
|---|---|
| LBN Legal business name | Davis, Damon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jul 12th, 2016 - about 10 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 | 1437275641 | NPPES |
| Michigan | MEDICAID | 1437275641 |
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