Davis, John Allen

Davis, John Allen is an individual health care provider with primary practice located at 1888 Hudson Cir Ste 2, Monroe LA 71201-3546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Davis, John Allen can be contacted via phone (318) 387-3453.

Contact Information

Primary practice address
1888 Hudson Cir Ste 2 Monroe LA 71201-3546
Phone: (318) 387-3453
Fax: (318) 323-9045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12526R Louisiana

Profile Details

NPI number 1184653552
LBN Legal business name Davis, John Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Apr 12th, 2016 - about 8 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 1184653552 NPPES
Louisiana Other 300134870 RAILROAD MEDICARE
Louisiana MEDICAID 134266001 RAILROAD MEDICARE
Louisiana MEDICAID 1536318 RAILROAD MEDICARE

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