Davis, Paul H

Davis, Paul H is an individual health care provider with primary practice located at 7111 E 21St Street N Suite A, Wichita KS 67206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Paul H can be contacted via phone (316) 684-2851.

Contact Information

Primary practice address
7111 E 21St Street N Suite A Wichita KS 67206
Phone: (316) 684-2851
Fax: (316) 686-7338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-15371 Kansas

Profile Details

NPI number 1710980164
LBN Legal business name Davis, Paul H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Oct 16th, 2012 - about 12 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 1710980164 NPPES
Kansas MEDICAID 100086530E
Kansas MEDICAID 100416440A
Kansas Other 110718
Kansas Other 101598
Kansas Other 080186352
Kansas Other 621151
Kansas Other 101598

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