Davis, Bennet E
Davis, Bennet E is an individual health care provider with primary practice located at 39580 S Lago Del Oro Pkwy , Tucson AZ 85739-1091. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Davis, Bennet E can be contacted via phone (520) 591-3760.Contact Information
Primary practice address
39580 S Lago Del Oro Pkwy
Tucson AZ 85739-1091
Phone: (520) 591-3760
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 23871 | Arizona |
Profile Details
| NPI number | 1902893399 |
|---|---|
| LBN Legal business name | Davis, Bennet E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Sep 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902893399 | NPPES |
| Arizona | MEDICAID | 335465 |
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