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Contact Information

MICHELLE DAVEY, DO
1179 N MCDOWELL BLVD
PETALUMA, CA94954
 Phone: 707-559-7500
 Fax: 707-559-7620
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHELLE DAVEY · (Female)

NPI # 1366445785
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/31/2005
Last updated 09/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A78760
  • CA Medicaid 00AX78760
  • CA Medicaid 1356344758
  • CA Other ZZZ73222Z BLUE SHIELD PIN
  • CA Other 1356344758 MEDICARE
Hospital affiliation(s) Not Available
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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