Davis, Heather A

Davis, Heather A is an individual health care provider with primary practice located at 9471 Market St Ste A , North Lima OH 44452-8702. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Davis, Heather A can be contacted via phone (330) 726-7100.

Contact Information

Primary practice address
9471 Market St Ste A North Lima OH 44452-8702
Phone: (330) 726-7100
Fax: (330) 758-0347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50003849 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.003849RX Ohio

Profile Details

NPI number 1144651084
LBN Legal business name Davis, Heather A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2013
Last updated Jul 12th, 2019 - about 7 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 1144651084 NPPES
Ohio MEDICAID 0095095

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