Davis, Marianne

Davis, Marianne is an individual health care provider with primary practice located at 401 Main St Ste 1 , Johnson City NY 13790-2065. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Davis, Marianne can be contacted via phone (607) 754-9870.

Contact Information

Primary practice address
401 Main St Ste 1 Johnson City NY 13790-2065
Phone: (607) 754-9870
Fax: (607) 785-9862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 265514-1 New York
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 265514-1 New York

Profile Details

NPI number 1669504122
LBN Legal business name Davis, Marianne
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2007
Last updated Mar 17th, 2018 - about 6 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 1669504122 NPPES
New York MEDICAID 3487189

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