Davis, Damon C

Davis, Damon C is an individual health care provider with primary practice located at 1115 N Ronald Reagan Pkwy Suite 206, Avon IN 46123-6911. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davis, Damon C can be contacted via phone (317) 272-8050.

Contact Information

Primary practice address
1115 N Ronald Reagan Pkwy Suite 206 Avon IN 46123-6911
Phone: (317) 272-8050
Fax: (317) 272-8051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27240 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01065572A Indiana

Profile Details

NPI number 1295795771
LBN Legal business name Davis, Damon C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jan 25th, 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 1295795771 NPPES
Indiana MEDICAID 200949600
Indiana MEDICAID 501769
Indiana Other AZ0710160

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