Davis, Elijah Lorenzo

Davis, Elijah Lorenzo is an individual health care provider with primary practice located at 5202 Faraon St. Ste. A, St. Joseph MO 64506-3480. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Davis, Elijah Lorenzo can be contacted via phone (816) 271-1067.

Contact Information

Primary practice address
5202 Faraon St. Ste. A St. Joseph MO 64506-3480
Phone: (816) 271-1067
Fax: (816) 271-1071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 316 Nebraska
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1200374 Kansas
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 2208014928 Missouri

Profile Details

NPI number 1265545966
LBN Legal business name Davis, Elijah Lorenzo
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 11th, 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 1265545966 NPPES
Nebraska MEDICAID 10026125400
Nebraska MEDICAID 1265545966
Nebraska MEDICAID 200575140A
Nebraska MEDICAID 1265545966

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