Davis, Roger W
Davis, Roger W is an individual health care provider with primary practice located at 3676 Parker Blvd Suite 230, Pueblo CO 81008-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Davis, Roger W can be contacted via phone (719) 553-2206.Contact Information
Primary practice address
3676 Parker Blvd Suite 230
Pueblo CO 81008-2212
Phone: (719) 553-2206
Fax: (719) 553-2226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 30919 | Colorado |
Profile Details
| NPI number | 1124058094 |
|---|---|
| LBN Legal business name | Davis, Roger W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Oct 16th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124058094 | NPPES |
| Colorado | MEDICAID | 01309194 | |
| Colorado | Other | 1124058094 |
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