Horace J Davis in Center Line - General Practice

Horace J Davis - NPI 1033126651

Horace J Davis is a General Practice in Center Line, Michigan. Horace J Davis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Horace J Davis is 1033126651. The last update date is 2015-11-24.

Horace J Davis's current location address is 25373 Van Dyke Ave, Center Line, Michigan. You can contact this provider via phone number 5862612500. The mailing address for Horace J Davis is 25373 Van Dyke Ave, Center Line, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Horace J Davis
Address 25373 Van Dyke Ave, Center Line, Michigan
Phone Number 5862612500
Fax Number
Sole Proprietor Y
Credentials D.O

NPI Number Detail

NPI Number 1033126651
Provider Enumeration Date 2006-08-03
Last Updated Date 2015-11-24

Provider Mailing Address Detail

Address 25373 Van Dyke Ave
City Center Line
State Michigan (MI)
Post Code 480151425
Phone Number 5862612500
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 5101007157
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200000004050 MI PHYSICIAN HEALTH PLAN
1917979 MI --
06617A MI CALHOUN HEALTH PLAN
851338774 MI BCBS

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FAQs about Horace J Davis

What is the unique identification code assigned to Horace J Davis by the Centers for Medicare & Medicaid Services?

The Horace J Davis has been issued the NPI (National Provider Identifier) 1033126651. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Horace J Davis's facilities are geographically located?

The facilities of Horace J Davis are physically situated at the following location: 25373 Van Dyke Ave, Center Line, MI, 480151425.

What is Horace J Davis's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Horace J Davis is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1033126651 to Horace J Davis?

The Centers for Medicare & Medicaid Services assigned the 1033126651 to Horace J Davis on 2006-08-03.

When was the information related to Horace J Davis most recently updated or refreshed?

The details pertaining to the Horace J Davis, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-11-24.

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