Davis, Locke H

Davis, Locke H is an individual health care provider with primary practice located at 1700 Mccallie Ave , Chattanooga TN 37404-3023. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Davis, Locke H can be contacted via phone (423) 622-2000.

Contact Information

Primary practice address
1700 Mccallie Ave Chattanooga TN 37404-3023
Phone: (423) 622-2000
Fax: (423) 622-2400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X CPO00940 Tennessee

Profile Details

NPI number 1922000819
LBN Legal business name Davis, Locke H
Credentials CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Dec 10th, 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 1922000819 NPPES
Tennessee Other 4033710 BLUECROSS
Tennessee MEDICAID 1454227 BLUECROSS

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