Davis, William Frederick

Davis, William Frederick is an individual health care provider with primary practice located at 1839 Fair Ave , Honesdale PA 18431-2121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, William Frederick can be contacted via phone (570) 251-6500.

Contact Information

Primary practice address
1839 Fair Ave Honesdale PA 18431-2121
Phone: (570) 251-6500
Fax: (570) 253-8174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD029754E Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 108469-1 New York

Profile Details

NPI number 1013957729
LBN Legal business name Davis, William Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Nov 10th, 2009 - about 17 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 1013957729 NPPES
New York Other 004964601 HEALTH NOW ID NUMBER
New York Other 18209 HEALTH NOW ID NUMBER
New York MEDICAID 000928379 HEALTH NOW ID NUMBER
New York Other 002309 HEALTH NOW ID NUMBER
New York MEDICAID 00916849 HEALTH NOW ID NUMBER

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