Davis, Gary Alan
Davis, Gary Alan is an individual health care provider with primary practice located at 1000 E Washington St , Medina OH 44256-2170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Davis, Gary Alan can be contacted via phone (330) 721-5173.Contact Information
Primary practice address
1000 E Washington St
Medina OH 44256-2170
Phone: (330) 721-5173
Fax: (330) 721-4908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 34-00-2668 | Ohio |
Profile Details
| NPI number | 1811086473 |
|---|---|
| LBN Legal business name | Davis, Gary Alan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811086473 | NPPES |
| Ohio | MEDICAID | 0444880 |
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