Christopher Lee Davis
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Scottsburg, IN
NPI 1679936801 · NPPES record last updated Apr 4, 2016
Key facts
- NPI
- 1679936801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 160 E Jefferson St
Scottsburg, IN 47170-1943 - Phone
- (812) 595-4195
- NPI assigned
- Apr 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
160 E Jefferson St
Scottsburg, IN 47170-1943
Mailing address
160 E Jefferson St
Scottsburg, IN 47170-1943
Phone (812) 595-4195
Other providers in Scottsburg, IN
- John Croasdell
- Jamie Lynn Crouse
- Lea Cuervo
- Donna M Dalton
- Daviess County Hospital
- Kimberly Deaton
- Dental Professionals of Indiana, P.C.
- Lora Dodson
- Don R Downing J D Roberts & D Barry Downing PTRS
- Stacy Elizabeth Doriot
All providers in Scottsburg, IN · Student in an Organized Health Care Education/Training Program in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.