Davis, Randall I
Davis, Randall I is an sole proprietor health care provider with primary practice located at 1 Saint Mary Pl , Shreveport LA 71101-4343. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Davis, Randall I can be contacted via phone (318) 773-5880.Contact Information
Primary practice address
1 Saint Mary Pl
Shreveport LA 71101-4343
Phone: (318) 773-5880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 023624 | Louisiana |
Profile Details
| NPI number | 1942270293 |
|---|---|
| LBN Legal business name | Davis, Randall I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jul 22nd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942270293 | NPPES |
| Louisiana | MEDICAID | 1486647 |
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