Davis, Richard
Davis, Richard is an individual health care provider with primary practice located at 4630 Ambassador Caffery Pkwy Ste 302 , Lafayette LA 70508-6950. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Davis, Richard can be contacted via phone (337) 470-3580.Contact Information
Primary practice address
4630 Ambassador Caffery Pkwy Ste 302
Lafayette LA 70508-6950
Phone: (337) 470-3580
Fax: (337) 470-3586
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 303582 | Louisiana |
Profile Details
NPI number | 1720536618 |
---|---|
LBN Legal business name | Davis, Richard |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 20th, 2016 |
Last updated | Mar 25th, 2021 - about 4 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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