Davis, Steven Earl

Davis, Steven Earl is an individual health care provider with primary practice located at 1125 Via Verde , San Dimas CA 91773-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Steven Earl can be contacted via phone (909) 592-9778.

Contact Information

Primary practice address
1125 Via Verde San Dimas CA 91773-4400
Phone: (909) 592-9778
Fax: (909) 599-6126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A5217 California

Profile Details

NPI number 1154300978
LBN Legal business name Davis, Steven Earl
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jan 31st, 2024 - about 10 months 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 1154300978 NPPES
California MEDICAID 00AX52170

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