Davis, Jason L

Davis, Jason L is an individual health care provider with primary practice located at 9040 Fitzsimmons Dr , Joint Base Lewis Mcchord WA 98431-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Davis, Jason L can be contacted via phone (253) 968-3229.

Contact Information

Primary practice address
9040 Fitzsimmons Dr Joint Base Lewis Mcchord WA 98431-1000
Phone: (253) 968-3229
Fax: (253) 968-0100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD207771 Oregon
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00046375 Washington
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X L0784 Texas

Profile Details

NPI number 1861502783
LBN Legal business name Davis, Jason L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861502783 NPPES
New Mexico MEDICAID PENDING

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