Davis, Jason Raymond

Davis, Jason Raymond is an individual health care provider with primary practice located at 3711 N Roxboro St , Durham NC 27704-2744. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Davis, Jason Raymond can be contacted via phone (919) 477-0497.

Contact Information

Primary practice address
3711 N Roxboro St Durham NC 27704-2744
Phone: (919) 477-0497
Fax: (919) 477-3384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X NC1704 North Carolina

Profile Details

NPI number 1750447488
LBN Legal business name Davis, Jason Raymond
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Oct 27th, 2011 - about 13 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 1750447488 NPPES
North Carolina MEDICAID 8908219

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