Davis, Jason Tyler

Davis, Jason Tyler is an individual health care provider with primary practice located at 7910 Frost St Ste 250 , San Diego CA 92123-2752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Davis, Jason Tyler can be contacted via phone (858) 637-4800.

Contact Information

Primary practice address
7910 Frost St Ste 250 San Diego CA 92123-2752
Phone: (858) 637-4800
Fax: (858) 637-4801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A100799 California

Profile Details

NPI number 1295911469
LBN Legal business name Davis, Jason Tyler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2008
Last updated Jan 29th, 2021 - about 4 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 1295911469 NPPES
California Other A100799 CA LICENSE
California Other BR072X CA LICENSE

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