Davies, Theodore Edwin Clyde

Davies, Theodore Edwin Clyde is an individual health care provider with primary practice located at 2603 Kentucky Ave Ste 404, Paducah KY 42003-3814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Davies, Theodore Edwin Clyde can be contacted via phone (270) 443-6472.

Contact Information

Primary practice address
2603 Kentucky Ave Ste 404 Paducah KY 42003-3814
Phone: (270) 443-6472
Fax: (270) 442-1649
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 16229 Kentucky

Profile Details

NPI number 1487656658
LBN Legal business name Davies, Theodore Edwin Clyde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated May 7th, 2008 - 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 1487656658 NPPES
Kentucky Other P00391203 RAILROAD MEDICARE
Kentucky MEDICAID 64162290 RAILROAD MEDICARE

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