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Contact Information

MICAH R DAVIS, DO
165 EDWIN C MOSES BLVD
DAYTON, OH45402
 Phone: 937-558-0180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICAH R DAVIS · (Female)

NPI # 1184605453
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/14/2005
Last updated 05/19/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 34008628
  • OH Medicaid 2606120
  • OH Other 3601331 MEDICARE GROUP NUMBER
Hospital affiliation(s)
  • GRANDVIEW HOSPITAL & MEDICAL CENTER - (Acute Care)
    405 GRAND AVENUE
    DAYTON, OH 45405
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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