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Contact Information

EMILY DAVIS
192 E CENTER ST
MANCHESTER, CT06040-5210
 Phone: 860-649-3243
 Fax: 860-649-5092
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for EMILY DAVIS · (Female)

NPI Number 1750785051
Status Active
Credentials
Entity Individual
Enumeration date 10/15/2014
Last updated 10/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 003189
  • CT Other 061496224 TAX ID
Hospital affiliation(s)
  • JOHNSON MEMORIAL HOSPITAL - (Acute Care)
    201 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT 06076
  • ST FRANCIS HOSPITAL & MEDICAL CENTER - (Acute Care)
    114 WOODLAND STREET
    HARTFORD, CT 06105
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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