Davis, Luke A
Davis, Luke A is an individual health care provider with primary practice located at 486 W Perry St , Tiffin OH 44883-1902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Davis, Luke A can be contacted via phone (419) 455-8140.Contact Information
Primary practice address
486 W Perry St
Tiffin OH 44883-1902
Phone: (419) 455-8140
Fax: (419) 225-8878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | COA13524-NP | Ohio |
Profile Details
| NPI number | 1073869905 |
|---|---|
| LBN Legal business name | Davis, Luke A |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2012 |
| Last updated | Aug 13th, 2015 - about 9 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 | 1073869905 | NPPES |
| Ohio | MEDICAID | 0069300 |
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