Davis, Brian E

Davis, Brian E is an individual health care provider with primary practice located at 613 23Rd St Ste 230 , Ashland KY 41101-2868. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Davis, Brian E can be contacted via phone (606) 324-4745.

Contact Information

Primary practice address
613 23Rd St Ste 230 Ashland KY 41101-2868
Phone: (606) 324-4745
Fax: (606) 324-4941
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004151 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3004151 Kentucky

Profile Details

NPI number 1932198124
LBN Legal business name Davis, Brian E
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Feb 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932198124 NPPES
Kentucky MEDICAID 78011319

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