Davis, Duane Allen
Davis, Duane Allen is an sole proprietor health care provider with primary practice located at 1704 Jefferson Ave , Mount Vernon IL 62864-4331. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Davis, Duane Allen can be contacted via phone (618) 244-2440.Contact Information
Primary practice address
1704 Jefferson Ave
Mount Vernon IL 62864-4331
Phone: (618) 244-2440
Fax: (618) 244-0607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Illinois |
Profile Details
| NPI number | 1912929191 |
|---|---|
| LBN Legal business name | Davis, Duane Allen |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 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.
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