Davis, Dustin

Davis, Dustin is an individual health care provider with primary practice located at 10800 Knights Rd , Philadelphia PA 19114-4200. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Davis, Dustin can be contacted via phone (215) 612-5161.

Contact Information

Primary practice address
10800 Knights Rd Philadelphia PA 19114-4200
Phone: (215) 612-5161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC006826 Pennsylvania

Profile Details

NPI number 1598286379
LBN Legal business name Davis, Dustin
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2017
Last updated Jun 30th, 2017 - about 9 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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