Davis, Timothy E.

Davis, Timothy E. is an individual health care provider with primary practice located at 303 S Nappanee St , Elkhart IN 46514-2066. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Davis, Timothy E. can be contacted via phone (574) 296-3955.

Contact Information

Primary practice address
303 S Nappanee St Elkhart IN 46514-2066
Phone: (574) 296-3955
Fax: (574) 296-3999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 01027755A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01027755A Indiana

Profile Details

NPI number 1356344204
LBN Legal business name Davis, Timothy E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jun 9th, 2009 - about 15 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 1356344204 NPPES
Indiana MEDICAID 100348240A

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