Davis, Greg E.

Davis, Greg E. is an individual health care provider with primary practice located at 104 27Th Ave Se , Puyallup WA 98374-1145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Davis, Greg E. can be contacted via phone (253) 770-9000.

Contact Information

Primary practice address
104 27Th Ave Se Puyallup WA 98374-1145
Phone: (253) 770-9000
Fax: (253) 770-9712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ML20006538 Washington

Profile Details

NPI number 1679689145
LBN Legal business name Davis, Greg E.
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Feb 24th, 2020 - about 6 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 1679689145 NPPES
Washington Other 412916 WA L&I
Washington MEDICAID 1016235 WA L&I

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