Davis, Christopher Jackson

Davis, Christopher Jackson is an sole proprietor health care provider with primary practice located at 320 Loucks Rd Suite 103, York PA 17404-1752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Davis, Christopher Jackson can be contacted via phone (717) 650-1398.

Contact Information

Primary practice address
320 Loucks Rd Suite 103 York PA 17404-1752
Fax: (717) 650-2177
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X OS-007771-L Pennsylvania

Profile Details

NPI number 1144473208
LBN Legal business name Davis, Christopher Jackson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2008
Last updated Nov 30th, 2016 - about 10 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 1144473208 NPPES
Pennsylvania MEDICAID 0013950600010

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