Davis, Lee R
Davis, Lee R is an individual health care provider with primary practice located at 4830 Knightsbridge Blvd , Columbus OH 43214-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Davis, Lee R can be contacted via phone (614) 566-5000.Contact Information
Primary practice address
4830 Knightsbridge Blvd
Columbus OH 43214-2300
Phone: (614) 566-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35036095 | Ohio |
Profile Details
NPI number | 1114955002 |
---|---|
LBN Legal business name | Davis, Lee R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2006 |
Last updated | Aug 23rd, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114955002 | NPPES |
Ohio | MEDICAID | 0339986 | |
Ohio | Other | 000000020544 |
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