Davis, Connie L.
Davis, Connie L. is an individual health care provider with primary practice located at 208 Hospital Parkway , Mount Vernon WA 98274. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Davis, Connie L. can be contacted via phone (360) 428-8260.Contact Information
Primary practice address
208 Hospital Parkway
Mount Vernon WA 98274
Phone: (360) 428-8260
Fax: (360) 428-8576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD00025078 | Washington |
Profile Details
| NPI number | 1043395841 |
|---|---|
| LBN Legal business name | Davis, Connie L. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Mar 13th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043395841 | NPPES |
| Other | 9149 | INTERNAL ID-MOTOR VEHICLE ID | |
| MEDICAID | 8303687 | INTERNAL ID-MOTOR VEHICLE ID |
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