Davis, Tish D

Davis, Tish D is an individual health care provider with primary practice located at 2235 E Gala St , Meridian ID 83642-8026. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Davis, Tish D can be contacted via phone (208) 887-3724.

Contact Information

Primary practice address
2235 E Gala St Meridian ID 83642-8026
Phone: (208) 887-3724
Fax: (208) 887-1682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1576 Idaho

Profile Details

NPI number 1548201007
LBN Legal business name Davis, Tish D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 22nd, 2019 - about 6 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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