Davis, Elena Mercedes

Davis, Elena Mercedes is an individual health care provider with primary practice located at 1 Childrens Way # 653 , Little Rock AR 72202-3500. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatric Pathology. Allopathic & Osteopathic Physicians / Pediatric Pathology is her primary health care specialty. Davis, Elena Mercedes can be contacted via phone (501) 364-1100.

Contact Information

Primary practice address
1 Childrens Way # 653 Little Rock AR 72202-3500
Phone: (501) 364-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 243455 New York
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X 243455 New York
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X E-5448 Arkansas

Profile Details

NPI number 1982738316
LBN Legal business name Davis, Elena Mercedes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Mar 25th, 2009 - about 17 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 1982738316 NPPES
Arkansas MEDICAID 175001001

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