Davis, Jason

Davis, Jason is an sole proprietor health care provider with primary practice located at 3940 N Marquette St , Davenport IA 52806-4430. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Davis, Jason can be contacted via phone (563) 386-3111.

Contact Information

Primary practice address
3940 N Marquette St Davenport IA 52806-4430
Phone: (563) 386-3111
Fax: (563) 386-3113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X IA3392 Iowa

Profile Details

NPI number 1588662050
LBN Legal business name Davis, Jason
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Feb 22nd, 2023 - about 3 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 1588662050 NPPES
Iowa Other 34933 BCBS OF IOWA
Iowa MEDICAID 4261008 BCBS OF IOWA

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