Davis, Scott

Davis, Scott is an individual health care provider with primary practice located at 333 N Green Bay Rd , Neenah WI 54956-1954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Scott can be contacted via phone (920) 729-6088.

Contact Information

Primary practice address
333 N Green Bay Rd Neenah WI 54956-1954
Phone: (920) 729-6088
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34617 Wisconsin

Profile Details

NPI number 1669400099
LBN Legal business name Davis, Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669400099 NPPES
Wisconsin MEDICAID 31959800

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