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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285720409 NPPES
California MEDICAID 68-0360801

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