Davis, Christopher J
Davis, Christopher J is an individual health care provider with primary practice located at 2003 Kootenai Health Way Ste 300 , Coeur D Alene ID 83814-6051. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Davis, Christopher J can be contacted via phone (208) 625-4120.Contact Information
Primary practice address
2003 Kootenai Health Way Ste 300
Coeur D Alene ID 83814-6051
Phone: (208) 625-4120
Fax: (208) 625-4121
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA61013600 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA21747 | California |
Profile Details
NPI number | 1184906695 |
---|---|
LBN Legal business name | Davis, Christopher J |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 12th, 2011 |
Last updated | Apr 17th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184906695 | NPPES |
California | Other | PA21747 | PA LICENSE |
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