Davis, Joseph Vivian

Davis, Joseph Vivian is an individual health care provider with primary practice located at 400 N Pepper Ave Armc Modular# 3, Colton CA 92324-1801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Davis, Joseph Vivian can be contacted via phone (909) 580-6210.

Contact Information

Primary practice address
400 N Pepper Ave Armc Modular# 3 Colton CA 92324-1801
Phone: (909) 580-6210
Fax: (909) 580-1363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 020A76980 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 020A76980 California

Profile Details

NPI number 1689781445
LBN Legal business name Davis, Joseph Vivian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Sep 30th, 2008 - about 16 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 1689781445 NPPES
California MEDICAID GR0079700

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