Davis, Michael Prentice

Davis, Michael Prentice is an individual health care provider with primary practice located at 2005 Veterans Memorial Blvd Fl 6 , Metairie LA 70002-6320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Michael Prentice can be contacted via phone (504) 836-9820.

Contact Information

Primary practice address
2005 Veterans Memorial Blvd Fl 6 Metairie LA 70002-6320
Phone: (504) 836-9820
Fax: (504) 846-9608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 025236 Louisiana

Profile Details

NPI number 1629061726
LBN Legal business name Davis, Michael Prentice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 21st, 2022 - about 2 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 1629061726 NPPES
Louisiana MEDICAID 1140368
Louisiana MEDICAID 03901261

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