Davis, Samuel Wayne

Davis, Samuel Wayne is an individual health care provider with primary practice located at 1010 A St , Greeley CO 80631-2021. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Davis, Samuel Wayne can be contacted via phone (970) 313-0400.

Contact Information

Primary practice address
1010 A St Greeley CO 80631-2021
Phone: (970) 313-0400
Fax: (970) 313-0404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52933 Colorado

Profile Details

NPI number 1336407758
LBN Legal business name Davis, Samuel Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2012
Last updated Jul 26th, 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.

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