Davis, Mark Embrey
Davis, Mark Embrey is an individual health care provider with primary practice located at 2223 Lime Kiln Rd Suite 1, Green Bay WI 54311-6213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Davis, Mark Embrey can be contacted via phone (920) 430-8120.Contact Information
Primary practice address
2223 Lime Kiln Rd Suite 1
Green Bay WI 54311-6213
Phone: (920) 430-8120
Fax: (920) 430-8122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 34460 | Wisconsin |
Profile Details
| NPI number | 1720165772 |
|---|---|
| LBN Legal business name | Davis, Mark Embrey |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Sep 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720165772 | NPPES |
| Wisconsin | MEDICAID | 30059100 |
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