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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
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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