Davis, Amy

Davis, Amy is an sole proprietor health care provider with primary practice located at 16 N Bryn Mawr Ave #386 , Bryn Mawr PA 19010-0347. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Davis, Amy can be contacted via phone (610) 520-1677.

Contact Information

Primary practice address
16 N Bryn Mawr Ave #386 Bryn Mawr PA 19010-0347
Phone: (610) 520-1677
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS013419 Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X OS013419 Pennsylvania
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X OS013419 Pennsylvania

Profile Details

NPI number 1063536902
LBN Legal business name Davis, Amy
Credentials DO, MS, MACP, FAAHPM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2007
Last updated Aug 2nd, 2023 - about 2 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 1063536902 NPPES
Pennsylvania MEDICAID 1021954500001

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