Davis, Gregory David

Davis, Gregory David is an individual health care provider with primary practice located at 4300 Birch Ave , Lake Isabella CA 93240-1628. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Davis, Gregory David can be contacted via phone (760) 379-1791.

Contact Information

Primary practice address
4300 Birch Ave Lake Isabella CA 93240-1628
Fax: (760) 379-1793
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 13448 California

Profile Details

NPI number 1033288998
LBN Legal business name Davis, Gregory David
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 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.

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