Davis, Michael E

Davis, Michael E is an sole proprietor health care provider with primary practice located at 477 N El Camino Real Suite B301, Encinitas CA 92024-1328. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Davis, Michael E can be contacted via phone (760) 753-1104.

Contact Information

Primary practice address
477 N El Camino Real Suite B301 Encinitas CA 92024-1328
Phone: (760) 753-1104
Fax: (760) 436-2075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA17532 California

Profile Details

NPI number 1922115229
LBN Legal business name Davis, Michael E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Jun 17th, 2011 - about 15 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 1922115229 NPPES
California MEDICAID 00G448720

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