Davis, Dustin D

Davis, Dustin D is an sole proprietor health care provider with primary practice located at 201 W Market St , Georgetown DE 19947-1440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Dustin D can be contacted via phone (302) 856-2254.

Contact Information

Primary practice address
201 W Market St Georgetown DE 19947-1440
Phone: (302) 856-2254
Fax: (302) 856-2330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C2-0006044 Delaware

Profile Details

NPI number 1417044157
LBN Legal business name Davis, Dustin D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1417044157 NPPES
Delaware MEDICAID 0001044304
Delaware Other C2-0006044

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