Davis, Jerome Alfred

Davis, Jerome Alfred is an sole proprietor health care provider with primary practice located at 101 Broad St , Plattsburgh NY 12901-2637. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davis, Jerome Alfred can be contacted via phone (518) 564-2187.

Contact Information

Primary practice address
101 Broad St Plattsburgh NY 12901-2637
Phone: (518) 564-2187
Fax: (518) 564-2188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 60-100430 New York

Profile Details

NPI number 1003039975
LBN Legal business name Davis, Jerome Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 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.

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