Davis, Jack M

Davis, Jack M is an individual health care provider with primary practice located at 2251 W 900 N , Farr West UT 84404-9586. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Davis, Jack M can be contacted via phone (801) 732-8035.

Contact Information

Primary practice address
2251 W 900 N Farr West UT 84404-9586
Phone: (801) 732-8035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 105902-0501 Utah

Profile Details

NPI number 1225104250
LBN Legal business name Davis, Jack M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 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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