Davis, Jeffrey Dean
Davis, Jeffrey Dean is an individual health care provider with primary practice located at 1011 East Jefferson St Ste 202, Charlottesville VA 22902-5354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davis, Jeffrey Dean can be contacted via phone (434) 977-7950.Contact Information
Primary practice address
1011 East Jefferson St Ste 202
Charlottesville VA 22902-5354
Phone: (434) 977-7950
Fax: (434) 295-4470
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101050714 | Virginia |
Profile Details
NPI number | 1891758140 |
---|---|
LBN Legal business name | Davis, Jeffrey Dean |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 8th, 2006 |
Last updated | Dec 18th, 2018 - about 6 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 | 1891758140 | NPPES |
Virginia | MEDICAID | 006009395 | |
Virginia | Other | 020359 |
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