Davis, John Lucian

Davis, John Lucian is an individual health care provider with primary practice located at 2400 Patterson St Suite 104, Nashville TN 37203-1562. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davis, John Lucian can be contacted via phone (615) 320-3880.

Contact Information

Primary practice address
2400 Patterson St Suite 104 Nashville TN 37203-1562
Fax: (615) 320-0308
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD10581 Tennessee

Profile Details

NPI number 1902872807
LBN Legal business name Davis, John Lucian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1902872807 NPPES
Tennessee MEDICAID 3888591

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