Davis, William G.

Davis, William G. is an individual health care provider with primary practice located at 1706 Se Walton Blvd , Bentonville AR 72712-3200. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Davis, William G. can be contacted via phone (479) 464-0400.

Contact Information

Primary practice address
1706 Se Walton Blvd Bentonville AR 72712-3200
Phone: (479) 464-0400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN089423 Missouri

Profile Details

NPI number 1326041831
LBN Legal business name Davis, William G.
Credentials RN,CS,FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2005
Last updated Sep 7th, 2013 - about 13 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 1326041831 NPPES
Missouri Other RN089423 RN LICENSE MISSOURI
Missouri MEDICAID 425287109 RN LICENSE MISSOURI

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