Dr. Timothy E. Davis
Family Doctor Family Doctor - Addiction Medicine
303 S Nappanee St
Elkhart
, Indiana 46514-2066
Dr. Timothy E. Davis
Family Doctor Family Doctor - Addiction Medicine
303 S Nappanee St
Elkhart
, Indiana 46514-2066
(574) 296-3999
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Timothy E. Davis
- Po Box 2968
- Elkhart, IN
- Zip : 46515-2968
- Fax : (574) 296-3999
- Phone : (574) 296-3955
Second Address
- Dr. Timothy E. Davis
- 303 S Nappanee St
- Elkhart, IN
- Zip : 46514-2066
- Fax : (574) 296-3999
- Phone : (574) 296-3955
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 01027755A | IN |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 01027755A | IN |
National Provider Identifier
| NPI | 1356344204 |
|---|---|
| Provider Name | Dr. Timothy E. Davis |
| First Address | Elkhart, IN 46515-2968 |
| Second Address | Elkhart, IN 46514-2066 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2005 |
| Last Update Date | 09/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100348240A | (05) | IN |
| C25006 | (02) | IN |
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.