Davis, David A

Davis, David A is an individual health care provider with primary practice located at 609 W Maple Ave , Springdale AR 72764-5335. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davis, David A can be contacted via phone (479) 757-4725.

Contact Information

Primary practice address
609 W Maple Ave Springdale AR 72764-5335
Fax: (888) 229-0525
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X N6527 Arkansas

Profile Details

NPI number 1295783348
LBN Legal business name Davis, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 9th, 2011 - about 14 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 1295783348 NPPES
Arkansas MEDICAID 106442001

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