Davis, Jeffrey

Davis, Jeffrey is an individual health care provider with primary practice located at 8619 S Howell Ave , Oak Creek WI 53154-2919. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Davis, Jeffrey can be contacted via phone (414) 791-7809.

Contact Information

Primary practice address
8619 S Howell Ave Oak Creek WI 53154-2919
Phone: (414) 791-7809
Fax: (262) 364-2248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1295869881
LBN Legal business name Davis, Jeffrey
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Oct 23rd, 2015 - about 10 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 1295869881 NPPES
Wisconsin MEDICAID 36102100

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