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
Fax: (928) 453-4791
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336257435 NPPES
Arizona Other 0243840 BLUE CROSS PROVIDER

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