Davis, Elissa

Davis, Elissa is an individual health care provider with primary practice located at 4700 Memorial Dr Ste 350 , Belleville IL 62226-5373. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is her primary health care specialty. Davis, Elissa can be contacted via phone (618) 212-4414.

Contact Information

Primary practice address
4700 Memorial Dr Ste 350 Belleville IL 62226-5373
Phone: (618) 212-4414
Fax: (618) 235-9020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036152355 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301117482 Michigan
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 036152355 Illinois

Profile Details

NPI number 1629496203
LBN Legal business name Davis, Elissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2014
Last updated Feb 26th, 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.

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