Davis, Marcia Jeanne
Davis, Marcia Jeanne is an individual health care provider with primary practice located at 4062 Flying C Rd , Cameron Park CA 95682-9664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Marcia Jeanne can be contacted via phone (530) 676-8234.Contact Information
Primary practice address
4062 Flying C Rd
Cameron Park CA 95682-9664
Phone: (530) 676-8234
Fax: (530) 676-0819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G77530 | California |
Profile Details
| NPI number | 1023005444 |
|---|---|
| LBN Legal business name | Davis, Marcia Jeanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1023005444 | NPPES |
| California | MEDICAID | 00G775300 |
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