Davis, Chad J

Davis, Chad J is an individual health care provider with primary practice located at 8402 Harcourt Rd Ste 815, Indianapolis IN 46260-2074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davis, Chad J can be contacted via phone (317) 872-1158.

Contact Information

Primary practice address
8402 Harcourt Rd Ste 815 Indianapolis IN 46260-2074
Phone: (317) 872-1158
Fax: (317) 872-1186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1033746A Indiana

Profile Details

NPI number 1619938073
LBN Legal business name Davis, Chad J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Oct 17th, 2013 - about 11 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 1619938073 NPPES
Indiana Other 677800B MEDICARE
Indiana Other 000000084283 MEDICARE
Indiana Other 330001346 MEDICARE
Indiana MEDICAID 100131690 MEDICARE
Indiana Other 351468850007 MEDICARE
Indiana Other 4362266 MEDICARE

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