Davis, Ian Jonathan

Davis, Ian Jonathan is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27599-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Davis, Ian Jonathan can be contacted via phone (919) 966-5360.

Contact Information

Primary practice address
101 Manning Dr Chapel Hill NC 27599-0001
Phone: (919) 966-5360
Fax: (919) 966-8212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 157792 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X North Carolina

Profile Details

NPI number 1679532899
LBN Legal business name Davis, Ian Jonathan
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679532899 NPPES
Massachusetts MEDICAID 3185753
Massachusetts Other 53255
Massachusetts Other 7863442
Massachusetts Other 2928020
Massachusetts Other 000000025972
Massachusetts Other 781010
Massachusetts Other 204827
Massachusetts Other J19511

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