Davis, Matthew L
Davis, Matthew L is an individual health care provider with primary practice located at 2500 Niles Road Suite #7, St. Joseph MI 49085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Davis, Matthew L can be contacted via phone (269) 982-7844.Contact Information
Primary practice address
2500 Niles Road Suite #7
St. Joseph MI 49085
Phone: (269) 982-7844
Fax: (269) 982-1783
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301084762 | Michigan |
Profile Details
NPI number | 1528004744 |
---|---|
LBN Legal business name | Davis, Matthew L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | Jan 25th, 2011 - about 13 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 | 1528004744 | NPPES |
Michigan | Other | 4301084762 | STATE LISCENSE |
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