Davis, James R

Davis, James R is an sole proprietor health care provider with primary practice located at 19654 Promise Rd , Noblesville IN 46060-9179. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Davis, James R can be contacted via phone (317) 430-7636.

Contact Information

Primary practice address
19654 Promise Rd Noblesville IN 46060-9179
Phone: (317) 430-7636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X 33498 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01024043A Indiana

Profile Details

NPI number 1306954144
LBN Legal business name Davis, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Dec 18th, 2015 - about 11 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 1306954144 NPPES
Indiana MEDICAID 100360240
Indiana MEDICAID 64343981
Indiana Other 000000272841

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