Davis, John K
Davis, John K is an individual health care provider with primary practice located at 2735 Silver Creek Rd , Bullhead City AZ 86442-7924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Davis, John K can be contacted via phone (928) 763-2273.Contact Information
Primary practice address
2735 Silver Creek Rd
Bullhead City AZ 86442-7924
Phone: (928) 763-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 3192 | Arizona |
Profile Details
| NPI number | 1093796104 |
|---|---|
| LBN Legal business name | Davis, John K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jan 7th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093796104 | NPPES |
| Arizona | MEDICAID | 392241 | |
| Arizona | Other | AZ0728670 | |
| Arizona | Other | AW1436 | |
| Arizona | Other | 39-87220 |
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