Evan Davis, ATC
Emergency Medicine, Sports Medicine in Newington, Connecticut
1164094942- Practice location
- 156 Roseleah Ave, Newington, CT 06111-2055
- Phone
- 860-614-2122
- Fax
- —
- Last updated
- July 12, 2021
Evan Davis is an Emergency Medicine, Sports Medicine based in Newington, CT. Evan Davis practices in Newington, CT and has the professional credentials of ATC. The NPI Number for Evan Davis is 1164094942 and holds a License No. 000721 (CT). The current practice location address for Evan Davis is 156 Roseleah Ave, Newington, CT 06111-2055 and can be reached out via phone at 860-614-2122.
Provider Profile Details
- NPI Number
- 1164094942
- Provider Name
- Evan Davis
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 156 Roseleah Ave, Newington, CT 06111-2055
- Phone Number
- 860-614-2122
- Primary Taxonomy
- Emergency Medicine, Sports Medicine · 207PS0010X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 12, 2021
- Last Update Date
- July 12, 2021
- Certification Date
- July 12, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 156 Roseleah Ave
Newington, CT 06111-2055 - City
- Newington
- State
- Connecticut
- Zip
- 06111-2055
- Phone Number
- 860-614-2122
Provider Business Mailing Address Details
- Address
- 156 Roseleah Ave
Newington, CT 06111-2055 - City
- Newington
- State
- CT
- Zip
- 06111-2055
License Information
- License Number
- 000721
- License State
- CT
- Taxonomy
- Emergency Medicine, Sports Medicine · 207PS0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Evan Davis, ATC?
The NPI number of Evan Davis, ATC is 1164094942. It was assigned on July 12, 2021 and is currently active in the NPPES registry.
What is the specialty of Evan Davis, ATC?
Evan Davis, ATC is registered under the primary taxonomy Emergency Medicine, Sports Medicine (code 207PS0010X), licensed in CT under license number 000721.
Where does Evan Davis, ATC practice?
The practice location is 156 Roseleah Ave, Newington, CT 06111-2055. The office can be reached at 860-614-2122 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164094942 directly on the NPPES registry website.