Davis, Emily
Davis, Emily is an individual health care provider with primary practice located at 192 E Center St , Manchester CT 06040-5210. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davis, Emily can be contacted via phone (860) 649-3243.Contact Information
Primary practice address
192 E Center St
Manchester CT 06040-5210
Phone: (860) 649-3243
Fax: (860) 649-5092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 003189 | Connecticut |
Profile Details
| NPI number | 1750785051 |
|---|---|
| LBN Legal business name | Davis, Emily |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2014 |
| Last updated | Oct 21st, 2021 - about 5 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 | 1750785051 | NPPES |
| Connecticut | Other | 061496224 | TAX ID |
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