Davis, Joel
Davis, Joel is an individual health care provider with primary practice located at 11050 Mount Belvedere Blvd Guthrie Ambulatory Clinic, Fort Drum NY 13602-5438. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Davis, Joel can be contacted via phone (315) 772-1628.Contact Information
Primary practice address
11050 Mount Belvedere Blvd Guthrie Ambulatory Clinic
Fort Drum NY 13602-5438
Phone: (315) 772-1628
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1236933 | Texas |
Profile Details
| NPI number | 1841620861 |
|---|---|
| LBN Legal business name | Davis, Joel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2013 |
| Last updated | Nov 13th, 2013 - about 11 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 | 1841620861 | NPPES |
| Texas | Other | 1236933 | PHYSICAL THERAPY LICENSE NUMBER |
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