Mcdavit, Jeffrey Alan

Mcdavit, Jeffrey Alan is an individual health care provider with primary practice located at 1800 N California St , Stockton CA 95204-6019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mcdavit, Jeffrey Alan can be contacted via phone (209) 943-2000.

Contact Information

Primary practice address
1800 N California St Stockton CA 95204-6019
Phone: (209) 943-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X A89540 California

Profile Details

NPI number 1588817662
LBN Legal business name Mcdavit, Jeffrey Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Apr 3rd, 2024 - about 5 months 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 1588817662 NPPES
California MEDICAID 1588817662
California Other CC657Z

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