Davis, Jason James

Davis, Jason James is an individual health care provider with primary practice located at 6777 W Maple Rd , West Bloomfield MI 48322-3013. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Davis, Jason James can be contacted via phone (248) 661-7029.

Contact Information

Primary practice address
6777 W Maple Rd West Bloomfield MI 48322-3013
Phone: (248) 661-7029
Fax: (248) 661-7155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301084196 Michigan
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 4301084196 Michigan

Profile Details

NPI number 1629286877
LBN Legal business name Davis, Jason James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2007
Last updated Apr 10th, 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 1629286877 NPPES
Michigan MEDICAID 001201201
Michigan MEDICAID 110083527
Michigan MEDICAID 110083527

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