Davis, Luke A

Davis, Luke A is an individual health care provider with primary practice located at 486 W Perry St , Tiffin OH 44883-1902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Davis, Luke A can be contacted via phone (419) 455-8140.

Contact Information

Primary practice address
486 W Perry St Tiffin OH 44883-1902
Phone: (419) 455-8140
Fax: (419) 225-8878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA13524-NP Ohio

Profile Details

NPI number 1073869905
LBN Legal business name Davis, Luke A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2012
Last updated Aug 13th, 2015 - about 11 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 1073869905 NPPES
Ohio MEDICAID 0069300

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