Davis, Jeffery

Davis, Jeffery is an individual health care provider with primary practice located at 1555 Elm St , Manchester NH 03101-1203. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Davis, Jeffery can be contacted via phone (603) 668-4111.

Contact Information

Primary practice address
1555 Elm St Manchester NH 03101-1203
Phone: (603) 668-4111
Fax: (603) 628-7757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0939 New Hampshire
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0578 New Hampshire

Profile Details

NPI number 1962579201
LBN Legal business name Davis, Jeffery
Credentials MLADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Mar 22nd, 2021 - about 4 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 1962579201 NPPES
New Hampshire Other 7706660Y0NH01 BLUE CROSS
New Hampshire Other 2163087 BLUE CROSS

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