Davis, Donald E

Davis, Donald E is an individual health care provider with primary practice located at 1230 E Main St Mankato Clinic At Main Street, Mankato MN 56002-8674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Davis, Donald E can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1230 E Main St Mankato Clinic At Main Street Mankato MN 56002-8674
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 34461 Minnesota

Profile Details

NPI number 1225017247
LBN Legal business name Davis, Donald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jul 10th, 2020 - about 4 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 1225017247 NPPES
Other 070007599 RR MEDICARE
Other 4T624DA RR MEDICARE
Other NA2951023824 RR MEDICARE
Other 0301642 RR MEDICARE
MEDICAID 937813 RR MEDICARE
MEDICAID 984325600 RR MEDICARE
Other 882331 RR MEDICARE
Other 410849339 56001 C100 RR MEDICARE
Other HP25594 RR MEDICARE
Other 115538 RR MEDICARE

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