Black-Davis, Pamela K
Black-Davis, Pamela K is an individual health care provider with primary practice located at 1628 N Alvernon Way , Tucson AZ 85712-3321. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Black-Davis, Pamela K can be contacted via phone (520) 321-3566.Contact Information
Primary practice address
1628 N Alvernon Way
Tucson AZ 85712-3321
Phone: (520) 321-3566
Fax: (520) 325-8616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 27184 | Arizona |
Profile Details
| NPI number | 1528048808 |
|---|---|
| LBN Legal business name | Black-Davis, Pamela K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Sep 9th, 2019 - about 6 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 | 1528048808 | NPPES |
| Arizona | MEDICAID | 291394 |
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