Davis, Lee W

Davis, Lee W is an individual health care provider with primary practice located at 407 N State St , Clarks Summit PA 18411-1061. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Davis, Lee W can be contacted via phone (570) 586-9500.

Contact Information

Primary practice address
407 N State St Clarks Summit PA 18411-1061
Phone: (570) 586-9500
Fax: (570) 586-9485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X OS004835L Pennsylvania

Profile Details

NPI number 1922087485
LBN Legal business name Davis, Lee W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Aug 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922087485 NPPES
Pennsylvania MEDICAID 0009667450004

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