Davis, Joel

Davis, Joel is an individual health care provider with primary practice located at 11050 Mount Belvedere Blvd Guthrie Ambulatory Clinic, Fort Drum NY 13602-5438. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Davis, Joel can be contacted via phone (315) 772-1628.

Contact Information

Primary practice address
11050 Mount Belvedere Blvd Guthrie Ambulatory Clinic Fort Drum NY 13602-5438
Phone: (315) 772-1628
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1236933 Texas

Profile Details

NPI number 1841620861
LBN Legal business name Davis, Joel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2013
Last updated Nov 13th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841620861 NPPES
Texas Other 1236933 PHYSICAL THERAPY LICENSE NUMBER

Popular Providers