NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

DONALD E DAVIS, MD
1230 E MAIN ST
MANKATO CLINIC AT MAIN STREET
MANKATO, MN56002-8674
 Phone: 507-625-1811
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DONALD E DAVIS · (Male)

NPI Number 1225017247
Credentials MD
Entity Individual
Enumeration date 01/10/2006
Last updated 08/18/2011 - About 5 years ago
Sole proprietor 1 No
Identifiers
MN License # 34461
IA Medicaid 937813
MN Medicaid 984325600
MN Medicare (Unspecified) 079000105
Medicare UPIN F70587
Other 410849339 56001 C100 CHAMPUS
Other 070007599 RR MEDICARE
MN Other 882331 AMERICAS PPO
MN Other 4T624DA BC BS
MN Other HP25594 HEALTH PARTNERS
MN Other 0301642 MEDICA
MN Other NA2951023824 PREFERRED ONE
MN Other 115538 U CARE
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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