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
Phone: (316) 636-6100
Fax: (316) 636-5813
Website:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1073773008 | NPPES |
| Kansas | MEDICAID | 201076570A |
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