Davis, George E

Davis, George E is an individual health care provider with primary practice located at 705 S University Ave Suite 100, Beaver Dam WI 53916-3053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Davis, George E can be contacted via phone (920) 887-1151.

Contact Information

Primary practice address
705 S University Ave Suite 100 Beaver Dam WI 53916-3053
Phone: (920) 887-1151
Fax: (920) 887-3353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 21978 Wisconsin

Profile Details

NPI number 1053330712
LBN Legal business name Davis, George E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 16th, 2008 - about 18 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 1053330712 NPPES
Wisconsin Other 180012216 RAIL ROAD MEDICARE
Wisconsin Other 1003606 RAIL ROAD MEDICARE
Wisconsin Other 180012216 RAIL ROAD MEDICARE
Wisconsin Other 7746 RAIL ROAD MEDICARE
Wisconsin Other 934 RAIL ROAD MEDICARE
Wisconsin Other WI0101 RAIL ROAD MEDICARE
Wisconsin MEDICAID 30404100 RAIL ROAD MEDICARE
Wisconsin Other 39115615602 RAIL ROAD MEDICARE

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