Davis, Victor Hardwick

Davis, Victor Hardwick is an sole proprietor health care provider with primary practice located at 919 Solano Dr Ne , Albuquerque NM 87110-7742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Davis, Victor Hardwick can be contacted via phone (505) 266-8122.

Contact Information

Primary practice address
919 Solano Dr Ne Albuquerque NM 87110-7742
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C51844 California
Allopathic & Osteopathic Physicians / Surgery 208600000X C51844 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 90-214 New Mexico

Profile Details

NPI number 1508811266
LBN Legal business name Davis, Victor Hardwick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Feb 10th, 2016 - about 9 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 1508811266 NPPES
Missouri MEDICAID 1508811266

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