Davis, Charlene H

Davis, Charlene H is an individual health care provider with primary practice located at 705 Riley Hospital Dr Ri 1601, Indianapolis IN 46202-5109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Davis, Charlene H can be contacted via phone (317) 944-4842.

Contact Information

Primary practice address
705 Riley Hospital Dr Ri 1601 Indianapolis IN 46202-5109
Phone: (317) 944-4842
Fax: (317) 948-0126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 28090894 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71000286 Indiana

Profile Details

NPI number 1932209939
LBN Legal business name Davis, Charlene H
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jan 14th, 2021 - 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 1932209939 NPPES
Indiana MEDICAID 200277570

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