Davis, Damon

Davis, Damon is an individual health care provider with primary practice located at 2900 Hannah Blvd Suite 104, East Lansing MI 48823-5384. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Davis, Damon can be contacted via phone (517) 363-8118.

Contact Information

Primary practice address
2900 Hannah Blvd Suite 104 East Lansing MI 48823-5384
Fax: (517) 364-8119
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D0066799 Maryland

Profile Details

NPI number 1437275641
LBN Legal business name Davis, Damon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 12th, 2016 - about 8 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 1437275641 NPPES
Michigan MEDICAID 1437275641

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