Davis, Colleen

Davis, Colleen is an individual health care provider with primary practice located at 1306 N Broom St , Wilmington DE 19806-4209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Davis, Colleen can be contacted via phone (302) 571-9750.

Contact Information

Primary practice address
1306 N Broom St Wilmington DE 19806-4209
Phone: (302) 571-9750
Fax: (302) 571-0620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C50000438 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C03083 Maryland

Profile Details

NPI number 1922109206
LBN Legal business name Davis, Colleen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 6th, 2008 - about 16 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 1922109206 NPPES
Delaware Other 016022N04 RAILROAD MEDICARE
Delaware Other C50000438 RAILROAD MEDICARE
Delaware Other C03083 RAILROAD MEDICARE

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