Davis, Jeffrey Rich
Davis, Jeffrey Rich is an individual health care provider with primary practice located at 1801 1St Ave Suite 3A, Longview WA 98632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Davis, Jeffrey Rich can be contacted via phone (360) 636-4469.Contact Information
Primary practice address
1801 1St Ave Suite 3A
Longview WA 98632
Phone: (360) 636-4469
Fax: (360) 425-4970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD00038750 | Washington |
Profile Details
| NPI number | 1871507251 |
|---|---|
| LBN Legal business name | Davis, Jeffrey Rich |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 25th, 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 | 1871507251 | NPPES |
| Washington | MEDICAID | 8256067 |
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