Davis, Jacob
Davis, Jacob is an sole proprietor health care provider with primary practice located at 606 Colonial Dr Ste B , Baton Rouge LA 70806-6535. He recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as his primary health care specialty. Davis, Jacob can be contacted via phone (225) 406-7670.Contact Information
Primary practice address
606 Colonial Dr Ste B
Baton Rouge LA 70806-6535
Phone: (225) 406-7670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Health Maintenance Organization | 302R00000X | 5559 | Louisiana |
Profile Details
| NPI number | 1932672979 |
|---|---|
| LBN Legal business name | Davis, Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2019 |
| Last updated | Jan 2nd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932672979 | NPPES |
| Louisiana | MEDICAID | 601008607 |
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