Davis, Eddie Dean
Davis, Eddie Dean is an individual health care provider with primary practice located at 354 Copperfield Blvd Ne , Concord NC 28025-2402. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Davis, Eddie Dean can be contacted via phone (704) 323-2000.Contact Information
Primary practice address
354 Copperfield Blvd Ne
Concord NC 28025-2402
Phone: (704) 323-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 103716 | North Carolina |
Profile Details
| NPI number | 1700876141 |
|---|---|
| LBN Legal business name | Davis, Eddie Dean |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jun 7th, 2016 - about 8 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 | 1700876141 | NPPES |
| North Carolina | Other | C5985 | MEDCOST |
| North Carolina | Other | P00136713 | MEDCOST |
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