Davis, Brett C
Davis, Brett C is an individual health care provider with primary practice located at 1000 Breckenridge St Ste 302A , Owensboro KY 42303-0877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Davis, Brett C can be contacted via phone (812) 491-1307.Contact Information
Primary practice address
1000 Breckenridge St Ste 302A
Owensboro KY 42303-0877
Phone: (812) 491-1307
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 31158 | Kentucky |
Profile Details
| NPI number | 1396774782 |
|---|---|
| LBN Legal business name | Davis, Brett C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Dec 31st, 2020 - about 4 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 | 1396774782 | NPPES |
| Kentucky | Other | 000000045768 | ANTHEM BC/BS |
| Kentucky | MEDICAID | 64311582 | ANTHEM BC/BS |
| Kentucky | MEDICAID | 100474890 | ANTHEM BC/BS |
| Kentucky | Other | 110110044 | ANTHEM BC/BS |
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