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Contact Information

JAMES R DAVIS, MD
19654 PROMISE RD
NOBLESVILLE, IN46060-9179
 Phone: 317-430-7636
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
Indicates primary specialty

NPI Profile & details for JAMES R DAVIS · (Male)

NPI # 1306954144
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 12/18/2015 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01024043A
  • KY License # 33498
  • IN Medicaid 100360240
  • KY Medicaid 64343981
  • IN Other 000000272841 ANTHEM
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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