Daviss, William Burleson
Daviss, William Burleson is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Daviss, William Burleson can be contacted via phone (603) 650-4724.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-0001
Phone: (603) 650-4724
Fax: (603) 650-0819
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | H6154 | Texas |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 9475 | New Hampshire |
Profile Details
NPI number | 1922070481 |
---|---|
LBN Legal business name | Daviss, William Burleson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2006 |
Last updated | Mar 7th, 2017 - about 8 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 | 1922070481 | NPPES |
Vermont | MEDICAID | 0RE3795 | |
Vermont | MEDICAID | 3084158 | |
Vermont | MEDICAID | 099493103 |
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