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
Fax: (860) 649-5092
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750785051 NPPES
Connecticut Other 061496224 TAX ID

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