Horace J Davis DO PC

Organization Active NPI General Practice Physician · Albion, MI

NPI 1568640985 · NPPES record last updated Feb 7, 2008

Key facts

NPI
1568640985
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
5101007157 (MI)
Legal business name
HORACE J DAVIS DO PC
Practice address
1201 E Broadwell St
Albion, MI 49224-1474
Phone
(517) 629-3963
Fax
(517) 629-2198
NPI assigned
Feb 7, 2008
Organization subpart
No

Authorized official

Name
Dr. Horace J Davis, DO
Title
President
Phone
(517) 629-3963

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X 5101007157 MI Yes

Addresses

Primary practice location

1201 E Broadwell St
Albion, MI 49224-1474

Mailing address

1201 E Broadwell St
Albion, MI 49224-1474
Phone (517) 629-3963

Other identifiers

IdentifierTypeStateIssuer
0851338774OtherBLUE CARE NETWORK
0851338774OtherBCBSM
1005484OtherCALHOUN HEALTH PLAN
100019OtherGREAT LAKES HEALTH PLAN
1917979MedicaidMI

Other providers in Albion, MI

All providers in Albion, MI · General Practice Physician in Michigan

Sources for this page

Verify at the official NPI Registry.