Davis, Patrick W

Davis, Patrick W is an individual health care provider with primary practice located at 724 Kendall Ln , Boulder City NV 89005-1112. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Davis, Patrick W can be contacted via phone (702) 604-7422.

Contact Information

Primary practice address
724 Kendall Ln Boulder City NV 89005-1112
Phone: (702) 604-7422
Fax: (702) 549-3178
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA823 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA823 Nevada

Profile Details

NPI number 1417914730
LBN Legal business name Davis, Patrick W
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Oct 22nd, 2019 - about 7 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 1417914730 NPPES
Nevada Other PA823 NSBME
Nevada MEDICAID 100502933 NSBME
Nevada MEDICAID 850273 NSBME
Nevada Other P00206370 NSBME
Nevada Other CC535Y NSBME

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