Chad E Davis in Logansport - Nurse Practitioner

Chad E Davis - NPI 1104081702

Chad E Davis is a Nurse Practitioner in Logansport, Indiana. Chad E Davis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Chad E Davis is 1104081702. The last update date is 2008-09-15.

Chad E Davis's current location address is 1098 S State Road 25, Logansport, Indiana. You can contact this provider via phone number 5747224141 and fax number 5747353414. The mailing address for Chad E Davis is 1098 S State Road 25, Logansport, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Chad E Davis
Address 1098 S State Road 25, Logansport, Indiana
Phone Number 5747224141
Fax Number 5747353414
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1104081702
Provider Enumeration Date 2008-07-23
Last Updated Date 2008-09-15

Provider Mailing Address Detail

Address 1098 S State Road 25
City Logansport
State Indiana (IN)
Post Code 469476723
Phone Number 5747224141
Fax Number 5747353414

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 71002747A
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Chad E Davis

What is the unique identifier code issued to Chad E Davis by the Centers for Medicare & Medicaid Services (CMS)?

The Chad E Davis has been assigned the NPI (National Provider Identifier) 1104081702. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Chad E Davis is geographically located?

The Chad E Davis is physically situated at the following location: 1098 S State Road 25, Logansport, IN, 469476723.

What is the Chad E Davis's area of specialization and corresponding taxonomy classification?

The Chad E Davis's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.

On what date did the Chad E Davis receive the assignment of its 1104081702 from the Centers for Medicare & Medicaid Services?

The Chad E Davis was issued its 1104081702 by the Centers for Medicare & Medicaid Services on 2008-07-23.

As of what date were the Chad E Davis's details last updated?

The information pertaining to the Chad E Davis, including its address, specialty, and other details, was most recently updated on 2008-09-15.

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