Davis, Justin C

Davis, Justin C is an individual health care provider with primary practice located at 2512 Telegraph Ave , Berkeley CA 94704-2918. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Davis, Justin C can be contacted via phone (415) 420-4325.

Contact Information

Primary practice address
2512 Telegraph Ave Berkeley CA 94704-2918
Phone: (415) 420-4325
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA22284 California

Profile Details

NPI number 1861740961
LBN Legal business name Davis, Justin C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2012
Last updated Jul 21st, 2022 - about 3 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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