Davis, William Anthony

Davis, William Anthony is an individual health care provider with primary practice located at 426 S Alabama St , Indianapolis IN 46225. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Davis, William Anthony can be contacted via phone (317) 528-2489.

Contact Information

Primary practice address
426 S Alabama St Indianapolis IN 46225
Fax: (317) 528-3770
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02004818A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04316 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 02004818A Indiana

Profile Details

NPI number 1497195697
LBN Legal business name Davis, William Anthony
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2013
Last updated Dec 3rd, 2020 - about 5 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 1497195697 NPPES
Kentucky MEDICAID 7100594970
Kentucky Other K270520-KOHMG

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