Davis, Patrick

Davis, Patrick is an individual health care provider with primary practice located at 300 W Broadway St Suite 2, Missoula MT 59802-4126. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davis, Patrick can be contacted via phone (406) 899-0522.

Contact Information

Primary practice address
300 W Broadway St Suite 2 Missoula MT 59802-4126
Phone: (406) 899-0522
Fax: (406) 543-1290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 236 Montana

Profile Details

NPI number 1194748699
LBN Legal business name Davis, Patrick
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Sep 24th, 2011 - about 14 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 1194748699 NPPES
Montana MEDICAID 492856

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