Davis, Damon

Davis, Damon is an sole proprietor health care provider with primary practice located at 3100 Warrior Ln , Poplar Bluff MO 63901-8686. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Davis, Damon can be contacted via phone (573) 727-9311.

Contact Information

Primary practice address
3100 Warrior Ln Poplar Bluff MO 63901-8686
Fax: (573) 785-0182
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 2009033936 Missouri

Profile Details

NPI number 1699003210
LBN Legal business name Davis, Damon
Credentials AHCNS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2009
Last updated Jul 31st, 2020 - about 5 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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