Davis, Jeffrey Dean

Davis, Jeffrey Dean is an individual health care provider with primary practice located at 1011 East Jefferson St Ste 202, Charlottesville VA 22902-5354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davis, Jeffrey Dean can be contacted via phone (434) 977-7950.

Contact Information

Primary practice address
1011 East Jefferson St Ste 202 Charlottesville VA 22902-5354
Phone: (434) 977-7950
Fax: (434) 295-4470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101050714 Virginia

Profile Details

NPI number 1891758140
LBN Legal business name Davis, Jeffrey Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Dec 18th, 2018 - about 7 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 1891758140 NPPES
Virginia MEDICAID 006009395
Virginia Other 020359

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