Davis, James R

Davis, James R is an individual health care provider with primary practice located at 1101 Michigan Ave , Logansport IN 46947-1528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Davis, James R can be contacted via phone (574) 722-2663.

Contact Information

Primary practice address
1101 Michigan Ave Logansport IN 46947-1528
Phone: (574) 722-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036076015 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 02004167A Indiana

Profile Details

NPI number 1811958804
LBN Legal business name Davis, James R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated May 3rd, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811958804 NPPES
Illinois MEDICAID 036076015
Illinois Other 3160469577
Illinois Other 000000808791
Illinois Other 200019369

Popular Providers