Davis, Jan G
Davis, Jan G is an individual health care provider with primary practice located at 1600 N Grand Ave Suite 230, Pueblo CO 81003-2730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Davis, Jan G can be contacted via phone (719) 595-7260.Contact Information
Primary practice address
1600 N Grand Ave Suite 230
Pueblo CO 81003-2730
Phone: (719) 595-7260
Fax: (719) 595-7265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 30574 | Colorado |
Profile Details
| NPI number | 1316975501 |
|---|---|
| LBN Legal business name | Davis, Jan G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Jul 9th, 2014 - about 11 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 | 1316975501 | NPPES |
| Colorado | MEDICAID | 01305747 |
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