Ebonee L Davis in South Bend - Internal Medicine
Ebonee L Davis - NPI 1295725646
Ebonee L Davis is a Internal Medicine in South Bend, Indiana. Ebonee L Davis practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ebonee L Davis is 1295725646. The last update date is 2016-08-02.
Ebonee L Davis's current location address is 211 N Eddy St, South Bend, Indiana. You can contact this provider via phone number 5742379340 and fax number 5742391474. The mailing address for Ebonee L Davis is 211 N Eddy St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ebonee L Davis |
|---|---|
| Address | 211 N Eddy St, South Bend, Indiana |
| Phone Number | 5742379340 |
| Fax Number | 5742391474 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295725646 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2016-08-02 |
Provider Mailing Address Detail
| Address | 211 N Eddy St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172808 |
| Phone Number | 5742379340 |
| Fax Number | 5742391474 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 01060624A |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200528010 | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ebonee L Davis by the Centers for Medicare & Medicaid Services?
The Ebonee L Davis has been issued the NPI (National Provider Identifier) 1295725646. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ebonee L Davis?
The Ebonee L Davis is situated at 211 N Eddy St, in the city of South Bend, state of IN, with the zip code 466172808.
What is the area of specialization for Ebonee L Davis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ebonee L Davis is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295725646 to Ebonee L Davis?
The Centers for Medicare & Medicaid Services originally issued the 1295725646 to Ebonee L Davis on 2005-10-26.
As of what date were the Ebonee L Davis's details last updated?
The information pertaining to the Ebonee L Davis, including its address, specialty, and other details, was most recently updated on 2016-08-02.