Davis, Keith Alan

Davis, Keith Alan is an sole proprietor health care provider with primary practice located at 1011 Sylvan Ave Ste C , Modesto CA 95350-1693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Davis, Keith Alan can be contacted via phone (209) 550-4780.

Contact Information

Primary practice address
1011 Sylvan Ave Ste C Modesto CA 95350-1693
Phone: (209) 550-4780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G74408 California

Profile Details

NPI number 1639268089
LBN Legal business name Davis, Keith Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jul 21st, 2022 - about 2 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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