Davis, John S

Davis, John S is an individual health care provider with primary practice located at 5590 Kietzke Ln , Reno NV 89511-3019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Davis, John S can be contacted via phone (775) 323-2080.

Contact Information

Primary practice address
5590 Kietzke Ln Reno NV 89511-3019
Phone: (775) 323-2080
Fax: (775) 325-2334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4127 Nevada

Profile Details

NPI number 1205874013
LBN Legal business name Davis, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Mar 26th, 2018 - about 6 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 1205874013 NPPES
Nevada Other 880167036A011 TRICARE
Nevada MEDICAID XPY001350 TRICARE
Nevada MEDICAID 002016378 TRICARE
Nevada Other CC4127 TRICARE

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