National Provider Identifier Database

KEITH E DAVIS
Rural Health


Contact Information

KEITH E DAVIS
113 S APPLE ST
SHOSHONE, ID83352-5287
Phone: 208-886-2222
Fax:
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for KEITH E DAVIS

NPI Number 1972673218
Legal business name
LBN
KEITH E DAVIS
Authorized official KEITH DAVIS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/08/2006
Last updated 03/08/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • ID Medicaid: 806290300

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.

Reviews for KEITH E DAVIS

There are currently no reviews for KEITH E DAVIS


NPIdb - Home
v2.201