Davis, Elizabeth Cannon
Davis, Elizabeth Cannon is an individual health care provider with primary practice located at 1450 Treat Blvd Ste 160 , Walnut Creek CA 94597-2168. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Davis, Elizabeth Cannon can be contacted via phone (925) 296-9000.Contact Information
Primary practice address
1450 Treat Blvd Ste 160
Walnut Creek CA 94597-2168
Phone: (925) 296-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA54622 | California |
Profile Details
| NPI number | 1285720409 |
|---|---|
| LBN Legal business name | Davis, Elizabeth Cannon |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Feb 6th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285720409 | NPPES |
| California | MEDICAID | 68-0360801 |
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