Davis, Michael

Davis, Michael is an individual health care provider with primary practice located at 251 E Antietam St , Hagerstown MD 21740-5724. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Davis, Michael can be contacted via phone (240) 313-9500.

Contact Information

Primary practice address
251 E Antietam St Hagerstown MD 21740-5724
Phone: (240) 313-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X C0002285 Maryland

Profile Details

NPI number 1750326989
LBN Legal business name Davis, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Mar 22nd, 2019 - 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 1750326989 NPPES
Maryland MEDICAID 45160100

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