Davis, Jim D

Davis, Jim D is an sole proprietor health care provider with primary practice located at 2400 Palmer Cir , Norman OK 73069-6301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Davis, Jim D can be contacted via phone (405) 321-6405.

Contact Information

Primary practice address
2400 Palmer Cir Norman OK 73069-6301
Phone: (405) 321-6405
Fax: (405) 321-6457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3845 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3845 Oklahoma

Profile Details

NPI number 1780675975
LBN Legal business name Davis, Jim D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Jun 25th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780675975 NPPES
Oklahoma MEDICAID 100850260C
Oklahoma MEDICAID 100850260A

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