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
Phone: (317) 528-2489
Fax: (317) 528-3770
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497195697 | NPPES |
Kentucky | MEDICAID | 7100594970 | |
Kentucky | Other | K270520-KOHMG |
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