Davis, James A

Davis, James A is an individual health care provider with primary practice located at 201 South Lincoln , Jerome ID 83338-2624. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, James A can be contacted via phone (208) 324-4363.

Contact Information

Primary practice address
201 South Lincoln Jerome ID 83338-2624
Phone: (208) 324-4363
Fax: (208) 324-8948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP0912 Idaho

Profile Details

NPI number 1164533485
LBN Legal business name Davis, James A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 27th, 2010 - about 15 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 1164533485 NPPES
Idaho MEDICAID 002457802

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