Colleen Davis in Wilmington - Surgical

Colleen Davis - NPI 1922109206

Colleen Davis is a Surgical in Wilmington, Delaware. Colleen Davis practices all healthcare services and medical treatments related to Surgical. The NPI Number for Colleen Davis is 1922109206. The last update date is 2008-08-06.

Colleen Davis's current location address is 1306 N Broom St, Wilmington, Delaware. You can contact this provider via phone number 3025719750 and fax number 3025710620. The mailing address for Colleen Davis is 1306 N Broom St, Wilmington, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Colleen Davis
Address 1306 N Broom St, Wilmington, Delaware
Phone Number 3025719750
Fax Number 3025710620
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1922109206
Provider Enumeration Date 2006-09-26
Last Updated Date 2008-08-06

Provider Mailing Address Detail

Address 1306 N Broom St
City Wilmington
State Delaware (DE)
Post Code 198064209
Phone Number 3025719750
Fax Number 3025710620

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No C50000438
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
016022N04 DE RAILROAD MEDICARE
C50000438 DE DE LICENSE
C03083 MD MD STATE LICENSE

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FAQs about Colleen Davis

What is the unique 10-digit identification code issued to Colleen Davis by the Centers for Medicare & Medicaid Services?

The Colleen Davis has been assigned the NPI (National Provider Identifier) 1922109206 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Colleen Davis is physically located?

The Colleen Davis is physically situated at the following address: 1306 N Broom St, Wilmington, DE, 198064209.

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

The area of specialization for Colleen Davis is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.

When was the Colleen Davis's 1922109206 issued?

The Colleen Davis's 1922109206 was issued on 2006-09-26.

When was the information pertaining to Colleen Davis most recently updated or revised?

The details related to Colleen Davis, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-06.

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