Dr. Horace J Davis
General Practice Physician
25373 Van Dyke Ave
Center Line
, Michigan 48015-1425
Dr. Horace J Davis
General Practice Physician
25373 Van Dyke Ave
Center Line
, Michigan 48015-1425
(586) 261-2500
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Horace J Davis
- 25373 Van Dyke Ave
- Center Line, MI
- Zip : 48015-1425
- Phone : (586) 261-2500
Second Address
- Dr. Horace J Davis
- 25373 Van Dyke Ave
- Center Line, MI
- Zip : 48015-1425
- Phone : (586) 261-2500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 5101007157 | MI |
National Provider Identifier
| NPI | 1033126651 |
|---|---|
| Provider Name | Dr. Horace J Davis |
| First Address | Center Line, MI 48015-1425 |
| Second Address | Center Line, MI 48015-1425 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 24/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 06617A | CALHOUN HEALTH PLAN (01) | MI |
| 0851338774 | BCBS (01) | MI |
| 1917979 | (05) | MI |
| 200000004050 | PHYSICIAN HEALTH PLAN (01) | MI |
| E25963 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.