Davis, Jerry Eldon
Davis, Jerry Eldon is an individual health care provider with primary practice located at 8001 Youree Dr , Shreveport LA 71115-2302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Davis, Jerry Eldon can be contacted via phone (318) 212-3500.Contact Information
Primary practice address
8001 Youree Dr
Shreveport LA 71115-2302
Phone: (318) 212-3500
Fax: (318) 212-3505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 12082R | Louisiana |
Profile Details
| NPI number | 1902898992 |
|---|---|
| LBN Legal business name | Davis, Jerry Eldon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Mar 20th, 2020 - about 4 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 | 1902898992 | NPPES |
| Louisiana | MEDICAID | 1542334 |
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