Davis, Matthew Shane

Davis, Matthew Shane is an sole proprietor health care provider with primary practice located at 7191 Cahaba Valley Rd Suite 205, Birmingham AL 35242-6402. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davis, Matthew Shane can be contacted via phone (205) 533-6644.

Contact Information

Primary practice address
7191 Cahaba Valley Rd Suite 205 Birmingham AL 35242-6402
Phone: (205) 533-6644
Fax: (888) 258-4852
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0023917 Alabama

Profile Details

NPI number 1700804978
LBN Legal business name Davis, Matthew Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Apr 9th, 2014 - about 11 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 1700804978 NPPES
Alabama MEDICAID 009938744
Alabama MEDICAID 009941508

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