Davis, Miryam M
Davis, Miryam M is an sole proprietor health care provider with primary practice located at 106 Irving St Nw #206, Washington DC 20010-2927. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is her primary health care specialty. Davis, Miryam M can be contacted via phone (202) 291-7300.Contact Information
Primary practice address
106 Irving St Nw #206
Washington DC 20010-2927
Phone: (202) 291-7300
Fax: (202) 726-6031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | MD4085 | District of Columbia |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | MD4085 | District of Columbia |
Profile Details
| NPI number | 1609949254 |
|---|---|
| LBN Legal business name | Davis, Miryam M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Dec 12th, 2016 - about 10 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 | 1609949254 | NPPES |
| District of Columbia | MEDICAID | 022868200 |
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