Davis, Michelle K
Davis, Michelle K is an individual health care provider with primary practice located at 2120 43Rd St Se Suite 200, Kentwood MI 49508-3772. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Michelle K can be contacted via phone (616) 455-4114.Contact Information
Primary practice address
2120 43Rd St Se Suite 200
Kentwood MI 49508-3772
Phone: (616) 455-4114
Fax: (616) 455-4454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301057310 | Michigan |
Profile Details
| NPI number | 1699767053 |
|---|---|
| LBN Legal business name | Davis, Michelle K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Feb 8th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699767053 | NPPES |
| Michigan | MEDICAID | 4092931 |
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