Davis, Carl Robert

Davis, Carl Robert is an individual health care provider with primary practice located at 2 Good Samaritan Way Suite 205, Mount Vernon IL 62864-2408. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Davis, Carl Robert can be contacted via phone (618) 241-1108.

Contact Information

Primary practice address
2 Good Samaritan Way Suite 205 Mount Vernon IL 62864-2408
Phone: (618) 241-1108
Fax: (618) 241-3805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209012907 Illinois

Profile Details

NPI number 1992188338
LBN Legal business name Davis, Carl Robert
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2015
Last updated Jul 2nd, 2015 - about 9 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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