Davis, Greg C.
Davis, Greg C. is an sole proprietor health care provider with primary practice located at 2240 Mcculloch Blvd N Ste C, Lake Havasu City AZ 86403-6904. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Davis, Greg C. can be contacted via phone (928) 453-2225.Contact Information
Primary practice address
2240 Mcculloch Blvd N Ste C
Lake Havasu City AZ 86403-6904
Phone: (928) 453-2225
Fax: (928) 453-4791
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Sports Physician | 111NS0005X | 4259 | Arizona |
Profile Details
NPI number | 1336257435 |
---|---|
LBN Legal business name | Davis, Greg C. |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 28th, 2006 |
Last updated | Sep 12th, 2017 - about 7 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 | 1336257435 | NPPES |
Arizona | Other | 0243840 | BLUE CROSS PROVIDER |
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