Davis, Jack Mathew
Davis, Jack Mathew is an individual health care provider with primary practice located at 18Th Medcom Attn: Dccs-Qm (Credentials), Apo AP 96205-0054. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Davis, Jack Mathew can be contacted via phone 01182279166027.Contact Information
Primary practice address
18Th Medcom Attn: Dccs-Qm (Credentials)
Apo AP 96205-0054
Phone: 01182279166027
Fax: 01182279178110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN073330 | Arizona |
Profile Details
| NPI number | 1063529162 |
|---|---|
| LBN Legal business name | Davis, Jack Mathew |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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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