Davis, Jeffrey Todd

Davis, Jeffrey Todd is an sole proprietor health care provider with primary practice located at 568 S Cleveland Ave Ste B , Westerville OH 43081. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Davis, Jeffrey Todd can be contacted via phone (614) 895-3344.

Contact Information

Primary practice address
568 S Cleveland Ave Ste B Westerville OH 43081
Fax: (614) 895-3795
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 30501 Arizona
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35.120017 Ohio

Profile Details

NPI number 1063414480
LBN Legal business name Davis, Jeffrey Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated May 30th, 2018 - about 7 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 1063414480 NPPES
Arizona MEDICAID 926876
Arizona MEDICAID 0249379

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