Davis, Calvin Eugene

Davis, Calvin Eugene is an individual health care provider with primary practice located at 4033 Talbot Rd S Ste 350 , Renton WA 98055-5767. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Davis, Calvin Eugene can be contacted via phone (425) 690-3510.

Contact Information

Primary practice address
4033 Talbot Rd S Ste 350 Renton WA 98055-5767
Phone: (425) 690-3510
Fax: (425) 690-9510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 892 Tennessee
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO61504285 Washington

Profile Details

NPI number 1295225779
LBN Legal business name Davis, Calvin Eugene
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2018
Last updated Feb 6th, 2024 - about 10 months 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 1295225779 NPPES
Tennessee MEDICAID Q066424

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