Davis, Jay Michael

Davis, Jay Michael is an individual health care provider with primary practice located at 3800 Janes Rd , Arcata CA 95521-4742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Jay Michael can be contacted via phone (707) 826-8264.

Contact Information

Primary practice address
3800 Janes Rd Arcata CA 95521-4742
Phone: (707) 826-8264
Fax: (707) 826-8292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G30021 California

Profile Details

NPI number 1083658470
LBN Legal business name Davis, Jay Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 17th, 2009 - about 17 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 1083658470 NPPES
California MEDICAID 00G300210

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