Davis, Bolivia
Davis, Bolivia is an individual health care provider with primary practice located at 5 Garrett Ave, Dept Of Radiology , La Plata MD 20646-5960. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Davis, Bolivia can be contacted via phone (301) 609-4000.Contact Information
Primary practice address
5 Garrett Ave, Dept Of Radiology
La Plata MD 20646-5960
Phone: (301) 609-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | D0043096 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0043096 | Maryland |
Profile Details
| NPI number | 1073584413 |
|---|---|
| LBN Legal business name | Davis, Bolivia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Apr 24th, 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 | 1073584413 | NPPES |
| Maryland | MEDICAID | 660302501 | |
| Maryland | MEDICAID | 029555600 |
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