Davis, Robert S

Davis, Robert S is an individual health care provider with primary practice located at 601 Old Wagner Rd Suite 101, Petersburg VA 23805-9313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Davis, Robert S can be contacted via phone (804) 524-2260.

Contact Information

Primary practice address
601 Old Wagner Rd Suite 101 Petersburg VA 23805-9313
Phone: (804) 524-2260
Fax: (804) 524-0096
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101035420 Virginia

Profile Details

NPI number 1164473146
LBN Legal business name Davis, Robert S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 7th, 2016 - about 8 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 1164473146 NPPES
Other 110132404 RAILROAD MEDICARE
MEDICAID 6089127 RAILROAD MEDICARE

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