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HORACE J DAVIS DO PC NPI 1568640985


NPI Information

NPI: 1568640985
Provider Name: HORACE J DAVIS DO PC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1201 E BROADWELL ST
ALBION, MI
ZIP 49224
Phone: (517) 629-3963
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HORACE J DAVIS DO PC is a general practice in Albion, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HORACE J DAVIS DO PC NPI is 1568640985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1201 E BROADWELL ST
ALBION, MI
ZIP 49224-474
Phone: (517) 629-3963
Fax: (517) 629-2198

The provider's authorized official is Horace J Davis .
The authorized official title is President and has the following contact phone number (517) 629-3963.

The enumeration date for this NPI number is 2/7/2008 and was last updated on 2/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice5101007157MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11917979MEDICAIDMICHIGAN
20851338774OTHERBCBSM
31005484OTHERCALHOUN HEALTH PLAN
40851338774OTHERBLUE CARE NETWORK
5E25963MEDICARE UPIN
65133877MEDICARE PIN
7100019OTHERGREAT LAKES HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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