Davis, Jefferson K
Davis, Jefferson K is an sole proprietor health care provider with primary practice located at 300 Galisteo St Ste 201, Santa Fe NM 87501-2607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Davis, Jefferson K can be contacted via phone (505) 983-6891.Contact Information
Primary practice address
300 Galisteo St Ste 201
Santa Fe NM 87501-2607
Phone: (505) 983-6891
Fax: (505) 982-2601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 90-176 | New Mexico |
Profile Details
| NPI number | 1669523502 |
|---|---|
| LBN Legal business name | Davis, Jefferson K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1669523502 | NPPES |
| New Mexico | MEDICAID | 29931 | |
| New Mexico | Other | 90176 |
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