Davis, Debra Elliott

Davis, Debra Elliott is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Neurology, Shreveport LA 71103-4228. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Davis, Debra Elliott can be contacted via phone (318) 813-2482.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Neurology Shreveport LA 71103-4228
Phone: (318) 813-2482
Fax: (318) 813-2491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 017921 Louisiana

Profile Details

NPI number 1326064148
LBN Legal business name Davis, Debra Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Oct 21st, 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 1326064148 NPPES
Louisiana MEDICAID 1378721
Louisiana Other 54817F610

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