Davis, William R
Davis, William R is an individual health care provider with primary practice located at 2600 N Mayfair Rd #950, Wauwatosa WI 53226-1309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Davis, William R can be contacted via phone (414) 456-1123.Contact Information
Primary practice address
2600 N Mayfair Rd #950
Wauwatosa WI 53226-1309
Phone: (414) 456-1123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 36170 | Wisconsin |
Profile Details
| NPI number | 1174585657 |
|---|---|
| LBN Legal business name | Davis, William R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Nov 8th, 2007 - about 18 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 | 1174585657 | NPPES |
| Wisconsin | MEDICAID | 32085100 |
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