Davis, Jeffrey Michael

Davis, Jeffrey Michael is an individual health care provider with primary practice located at 3015 N Ballas Rd Dept Emergency Medicine, Saint Louis MO 63131-2329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Davis, Jeffrey Michael can be contacted via phone (314) 966-5000.

Contact Information

Primary practice address
3015 N Ballas Rd Dept Emergency Medicine Saint Louis MO 63131-2329
Phone: (314) 966-5000
Fax: (314) 747-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2013030518 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2013030518 Missouri

Profile Details

NPI number 1922183680
LBN Legal business name Davis, Jeffrey Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 20th, 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 1922183680 NPPES
Missouri MEDICAID 200012969

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