Davis, Deanna S

Davis, Deanna S is an individual health care provider with primary practice located at 751 S Bascom Ave Neurosurgery Dept, San Jose CA 95128-2604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Davis, Deanna S can be contacted via phone (408) 885-5686.

Contact Information

Primary practice address
751 S Bascom Ave Neurosurgery Dept San Jose CA 95128-2604
Phone: (408) 885-5686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15995 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 15995 California

Profile Details

NPI number 1346219631
LBN Legal business name Davis, Deanna S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Sep 11th, 2007 - about 19 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 1346219631 NPPES
California MEDICAID PA15995

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