Davis, Neville

Davis, Neville is an individual health care provider with primary practice located at 2511 W Edgewood Dr Ste D, Jefferson City MO 65109-5869. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Davis, Neville can be contacted via phone (573) 761-2121.

Contact Information

Primary practice address
2511 W Edgewood Dr Ste D Jefferson City MO 65109-5869
Phone: (573) 761-2121
Fax: (573) 635-0726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R4P82 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X R4P82 Missouri

Profile Details

NPI number 1790722437
LBN Legal business name Davis, Neville
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Sep 28th, 2012 - about 13 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 1790722437 NPPES
Missouri MEDICAID 205754807
Missouri MEDICAID 205958408
Missouri Other 104984
Missouri Other 2086335801
Missouri Other 40006670
Missouri Other 102869

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