Davis, Elizabeth Ann
Davis, Elizabeth Ann is an individual health care provider with primary practice located at 1250 Ralston Ave Ste 104 , Defiance OH 43512-5308. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Davis, Elizabeth Ann can be contacted via phone (419) 785-3281.Contact Information
Primary practice address
1250 Ralston Ave Ste 104
Defiance OH 43512-5308
Phone: (419) 785-3281
Fax: (419) 784-1606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01082080A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.132860 | Ohio |
Profile Details
| NPI number | 1467846394 |
|---|---|
| LBN Legal business name | Davis, Elizabeth Ann |
| Credentials | M.D, MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2015 |
| Last updated | Nov 3rd, 2023 - about last year |
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 | 1467846394 | NPPES |
| Indiana | MEDICAID | 300025366 |
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