Davis, Marcia Jeanne

Davis, Marcia Jeanne is an individual health care provider with primary practice located at 4062 Flying C Rd , Cameron Park CA 95682-9664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Marcia Jeanne can be contacted via phone (530) 676-8234.

Contact Information

Primary practice address
4062 Flying C Rd Cameron Park CA 95682-9664
Phone: (530) 676-8234
Fax: (530) 676-0819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G77530 California

Profile Details

NPI number 1023005444
LBN Legal business name Davis, Marcia Jeanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Mar 7th, 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 1023005444 NPPES
California MEDICAID 00G775300

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