Davis, Charles Eugene

Davis, Charles Eugene is an individual health care provider with primary practice located at 272 London Mountain View Dr , London KY 40741-6601. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Davis, Charles Eugene can be contacted via phone (606) 877-2850.

Contact Information

Primary practice address
272 London Mountain View Dr London KY 40741-6601
Phone: (606) 877-2850
Fax: (606) 877-2857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1831537547
LBN Legal business name Davis, Charles Eugene
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2013
Last updated Sep 5th, 2013 - about 12 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 1831537547 NPPES
Kentucky MEDICAID 7100246460

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