Davis, Paul J

Davis, Paul J is an individual health care provider with primary practice located at One Medical Village Drive , Edgewood KY 41017. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Davis, Paul J can be contacted via phone (859) 341-7246.

Contact Information

Primary practice address
One Medical Village Drive Edgewood KY 41017
Phone: (859) 341-7246
Fax: (859) 341-7867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1102067 Kentucky

Profile Details

NPI number 1518936731
LBN Legal business name Davis, Paul J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Feb 28th, 2008 - about 16 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 1518936731 NPPES
Other 000000355022 ANTHEM BLUE SHIELD
MEDICAID 74009622 ANTHEM BLUE SHIELD
Other 2547971 ANTHEM BLUE SHIELD

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