Davey, Michelle

Davey, Michelle is an individual health care provider with primary practice located at 1179 N Mcdowell Blvd , Petaluma CA 94954. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davey, Michelle can be contacted via phone (707) 559-7500.

Contact Information

Primary practice address
1179 N Mcdowell Blvd Petaluma CA 94954
Fax: (707) 559-7620
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A78760 California

Profile Details

NPI number 1366445785
LBN Legal business name Davey, Michelle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Sep 20th, 2019 - about 5 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 1366445785 NPPES
California MEDICAID 00AX78760
California Other 1356344758
California MEDICAID 1356344758
California Other ZZZ73222Z

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