Downs Davis, Amanda

Downs Davis, Amanda is an individual health care provider with primary practice located at 1383 W Hunter St , Logan OH 43138-1013. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Downs Davis, Amanda can be contacted via phone (740) 385-0202.

Contact Information

Primary practice address
1383 W Hunter St Logan OH 43138-1013
Phone: (740) 385-0202
Fax: (740) 380-2734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.17242-NP Ohio

Profile Details

NPI number 1073991014
LBN Legal business name Downs Davis, Amanda
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2015
Last updated Nov 19th, 2020 - about 4 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 1073991014 NPPES
Ohio MEDICAID 0137438

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