Davis, Fred Neal

Davis, Fred Neal is an individual health care provider with primary practice located at 2060 E Paris Ave Se Suite 200, Grand Rapids MI 49546-6113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Davis, Fred Neal can be contacted via phone (616) 285-1377.

Contact Information

Primary practice address
2060 E Paris Ave Se Suite 200 Grand Rapids MI 49546-6113
Phone: (616) 285-1377
Fax: (616) 285-1154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 4301043532 Michigan

Profile Details

NPI number 1225099161
LBN Legal business name Davis, Fred Neal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated May 3rd, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225099161 NPPES
Michigan MEDICAID 4532270-10
Michigan Other 7000027051
Michigan Other 050044374
Michigan Other 11908
Michigan MEDICAID 4552970-10
Michigan Other 2019450
Michigan Other 550410724
Michigan Other 7582081
Michigan Other 4098753
Michigan Other 7000027051

Popular Providers