DR. HORACE J DAVIS D.O NPI 1033126651

NPI Information

NPI: 1033126651
Provider Name: DR. HORACE J DAVIS, D.O
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
25373 VAN DYKE AVE
CENTER LINE, MI
ZIP 48015
Phone: (586) 261-2500
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DR. Horace J Davis, D.O is a general practice in Center Line, 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 DR. Horace J Davis, D.O NPI is 1033126651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25373 VAN DYKE AVE
CENTER LINE, MI
ZIP 48015-425
Phone: (586) 261-2500

The enumeration date for this NPI number is 8/3/2006 and was last updated on 11/24/2015.

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
1	208D00000X	General Practice		5101007157	MICHIGAN	Yes

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
1	200000004050	OTHER	MICHIGAN	PHYSICIAN HEALTH PLAN
2	06617A	OTHER	MICHIGAN	CALHOUN HEALTH PLAN
3	E25963	MEDICARE UPIN	MICHIGAN
4	0851338774	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
5	0851338774	OTHER	MICHIGAN	BCBS
6	1917979	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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