Davis, Darwin L

Davis, Darwin L is an individual health care provider with primary practice located at 2002 Kanell Blvd Suite 103, Poplar Bluff MO 63901-4045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Darwin L can be contacted via phone (573) 727-9130.

Contact Information

Primary practice address
2002 Kanell Blvd Suite 103 Poplar Bluff MO 63901-4045
Phone: (573) 727-9130
Fax: (573) 727-9128
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 100921 Missouri

Profile Details

NPI number 1710942115
LBN Legal business name Davis, Darwin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Feb 28th, 2012 - about 12 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 1710942115 NPPES
Missouri Other 17094 BLUE CROSS BLUE SHIELD
Missouri MEDICAID 596059709 BLUE CROSS BLUE SHIELD

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