Davis, Eric G

Davis, Eric G is an individual health care provider with primary practice located at 210 E Gray St Ste 900 , Louisville KY 40202-3905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Davis, Eric G can be contacted via phone (502) 569-2220.

Contact Information

Primary practice address
210 E Gray St Ste 900 Louisville KY 40202-3905
Phone: (502) 569-2220
Fax: (502) 584-6851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40623 Kentucky
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 40623 Kentucky

Profile Details

NPI number 1154486744
LBN Legal business name Davis, Eric G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jun 6th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154486744 NPPES
Indiana Other 200859990 MEDICAID PASSPORT
Indiana Other 50014590 MEDICAID PASSPORT
Indiana MEDICAID 64130503 MEDICAID PASSPORT

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