Davis, Collette Michele

Davis, Collette Michele is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. 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, Collette Michele can be contacted via phone (614) 722-2000.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP05870 Ohio

Profile Details

NPI number 1568430833
LBN Legal business name Davis, Collette Michele
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Mar 8th, 2022 - about 2 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 1568430833 NPPES
Ohio MEDICAID 0305990

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