Davis, Michelle S

Davis, Michelle S is an individual health care provider with primary practice located at 3900 St Francis Way Ste 200 , Lafayette IN 47905-4940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Davis, Michelle S can be contacted via phone (765) 775-2800.

Contact Information

Primary practice address
3900 St Francis Way Ste 200 Lafayette IN 47905-4940
Phone: (765) 775-2800
Fax: (765) 775-2831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71007546A Indiana

Profile Details

NPI number 1962595744
LBN Legal business name Davis, Michelle S
Credentials APRN, NP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Nov 14th, 2023 - about last year

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 1962595744 NPPES
Illinois MEDICAID 041254596

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