Davis, John Mattison

Davis, John Mattison is an individual health care provider with primary practice located at 6211 Waterford Blvd , Evansville IN 47715-2869. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Davis, John Mattison can be contacted via phone (812) 465-6202.

Contact Information

Primary practice address
6211 Waterford Blvd Evansville IN 47715-2869
Phone: (812) 465-6202
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 0101264206 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101264206 Virginia

Profile Details

NPI number 1700857620
LBN Legal business name Davis, John Mattison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Dec 26th, 2023 - about 3 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 1700857620 NPPES
Kentucky MEDICAID 7100127820
Kentucky Other P00872494

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