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
Phone: (614) 895-3344
Fax: (614) 895-3795
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063414480 | NPPES |
| Arizona | MEDICAID | 926876 | |
| Arizona | MEDICAID | 0249379 |
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