Davis, Jessica Michelle

Davis, Jessica Michelle is an sole proprietor health care provider with primary practice located at 5535 S Scatterfield Rd , Anderson IN 46013-3140. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Davis, Jessica Michelle can be contacted via phone (765) 642-7822.

Contact Information

Primary practice address
5535 S Scatterfield Rd Anderson IN 46013-3140
Phone: (765) 642-7822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003724A Indiana

Profile Details

NPI number 1467713594
LBN Legal business name Davis, Jessica Michelle
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2012
Last updated Jun 21st, 2013 - about 12 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 1467713594 NPPES
Indiana MEDICAID 201077970

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