Davis, Jeffrey S

Davis, Jeffrey S is an individual health care provider with primary practice located at 2626 N Webb Rd , Wichita KS 67226-8110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Davis, Jeffrey S can be contacted via phone (316) 636-6100.

Contact Information

Primary practice address
2626 N Webb Rd Wichita KS 67226-8110
Fax: (316) 636-5813
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 26429 Oklahoma
Allopathic & Osteopathic Physicians / Urology 208800000X 04-36260 Kansas

Profile Details

NPI number 1073773008
LBN Legal business name Davis, Jeffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2008
Last updated Oct 31st, 2013 - about 11 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 1073773008 NPPES
Kansas MEDICAID 201076570A

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