Davis, Jeremiah C.

Davis, Jeremiah C. is an individual health care provider with primary practice located at 1885 Bay Rd , East Palo Alto CA 94303-1312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Davis, Jeremiah C. can be contacted via phone (650) 330-7400.

Contact Information

Primary practice address
1885 Bay Rd East Palo Alto CA 94303-1312
Phone: (650) 330-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ML60157569 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60342987 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD167331 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C153312 California

Profile Details

NPI number 1952625543
LBN Legal business name Davis, Jeremiah C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2010
Last updated Aug 14th, 2019 - 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 1952625543 NPPES
Oregon MEDICAID 500671034

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