Davis, Julian Scott
Davis, Julian Scott is an sole proprietor health care provider with primary practice located at 1040 Hempstead Tpke Suite 11, Franklin Square NY 11010-2635. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Davis, Julian Scott can be contacted via phone (516) 437-3689.Contact Information
Primary practice address
1040 Hempstead Tpke Suite 11
Franklin Square NY 11010-2635
Phone: (516) 437-3689
Fax: (516) 775-1462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 002424 | New York |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 634 | Florida |
Profile Details
| NPI number | 1063403673 |
|---|---|
| LBN Legal business name | Davis, Julian Scott |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1063403673 | NPPES |
| Florida | MEDICAID | 340499400 | |
| Florida | MEDICAID | 00401405 |
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