Davis, Judine Catherine

Davis, Judine Catherine is an individual health care provider with primary practice located at 2157 Main St , Buffalo NY 14214-2648. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Davis, Judine Catherine can be contacted via phone (716) 862-1501.

Contact Information

Primary practice address
2157 Main St Buffalo NY 14214-2648
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 204770-1 New York

Profile Details

NPI number 1487622148
LBN Legal business name Davis, Judine Catherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1487622148 NPPES
New York Other 0709273 INDEPENDENT HEALTH
New York MEDICAID PENDING INDEPENDENT HEALTH
New York Other 000524798002 INDEPENDENT HEALTH

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