Davis, Thomas Keefe
Davis, Thomas Keefe is an individual health care provider with primary practice located at 1 Childrens Pl Ste 2C And 2D, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is his primary health care specialty. Davis, Thomas Keefe can be contacted via phone (314) 454-6043.Contact Information
Primary practice address
1 Childrens Pl Ste 2C And 2D
Saint Louis MO 63110-1002
Phone: (314) 454-6043
Fax: (314) 454-4258
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2008015429 | Missouri |
Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 2008015429 | Missouri |
Profile Details
NPI number | 1124287420 |
---|---|
LBN Legal business name | Davis, Thomas Keefe |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 3rd, 2008 |
Last updated | Jan 24th, 2018 - about 7 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 | 1124287420 | NPPES |
Illinois | MEDICAID | ENROLLED |
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