Davis, Meade O
Davis, Meade O is an sole proprietor health care provider with primary practice located at 433 E 19Th St , Cheyenne WY 82001-4643. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davis, Meade O can be contacted via phone (307) 634-0871.Contact Information
Primary practice address
433 E 19Th St
Cheyenne WY 82001-4643
Phone: (307) 634-0871
Fax: (307) 638-4054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 2428A | Wyoming |
Profile Details
| NPI number | 1902802663 |
|---|---|
| LBN Legal business name | Davis, Meade O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jun 16th, 2008 - about 16 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 | 1902802663 | NPPES |
| Wyoming | MEDICAID | 106425800 |
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