Davis, Deanna S
Davis, Deanna S is an individual health care provider with primary practice located at 751 S Bascom Ave Neurosurgery Dept, San Jose CA 95128-2604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Davis, Deanna S can be contacted via phone (408) 885-5686.Contact Information
Primary practice address
751 S Bascom Ave Neurosurgery Dept
San Jose CA 95128-2604
Phone: (408) 885-5686
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 15995 | California |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 15995 | California |
Profile Details
NPI number | 1346219631 |
---|---|
LBN Legal business name | Davis, Deanna S |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 17th, 2006 |
Last updated | Sep 11th, 2007 - about 17 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 | 1346219631 | NPPES |
California | MEDICAID | PA15995 |
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