Davis, Thomas Jay

Davis, Thomas Jay is an individual health care provider with primary practice located at 3873 N Parkview Dr Physicians' Specialty Hospital, Fayetteville AR 72703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Davis, Thomas Jay can be contacted via phone (479) 571-7070.

Contact Information

Primary practice address
3873 N Parkview Dr Physicians' Specialty Hospital Fayetteville AR 72703
Phone: (479) 571-7070
Fax: (479) 571-7090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C8249 Arkansas

Profile Details

NPI number 1417931346
LBN Legal business name Davis, Thomas Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated May 20th, 2014 - about 12 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 1417931346 NPPES
Arkansas MEDICAID 131063001
Arkansas MEDICAID 100072550A
Arkansas Other 770119401

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