Davis, Dennon W

Davis, Dennon W is an individual health care provider with primary practice located at 502 W Saint Louis St Ste 4 , West Frankfort IL 62896-1968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Dennon W can be contacted via phone (618) 937-3400.

Contact Information

Primary practice address
502 W Saint Louis St Ste 4 West Frankfort IL 62896-1968
Phone: (618) 937-3400
Fax: (618) 997-9324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036099669 Illinois

Profile Details

NPI number 1689788630
LBN Legal business name Davis, Dennon W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Sep 1st, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689788630 NPPES
Other 10019630 BCBS
Other 334689 BCBS
Other 047016 BCBS
Other 080137051 BCBS

Popular Providers