Davis, Leon J

Davis, Leon J is an individual health care provider with primary practice located at 102 N Pine St Blue Hill Clinic, Blue Hill NE 68930-5532. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davis, Leon J can be contacted via phone (402) 756-2141.

Contact Information

Primary practice address
102 N Pine St Blue Hill Clinic Blue Hill NE 68930-5532
Fax: (402) 756-2142
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 13349 Nebraska

Profile Details

NPI number 1770585440
LBN Legal business name Davis, Leon J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Mar 29th, 2010 - about 15 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 1770585440 NPPES
Nebraska Other 06154 BLUE CROSS BLUE SHIELD NE
Nebraska Other 096853006 BLUE CROSS BLUE SHIELD NE

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