MR. MICHAEL VERNON DAVIS I


Address: 502 W Park Plz, Mattoon, IL 61938-3639
Phone: 2172343222

MR. MICHAEL VERNON DAVIS I (NPI# 1962064691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962064691
Entity Type Individual
Full Name MR. MICHAEL VERNON DAVIS I
Practice Address 502 W Park Plz
Mattoon
IL 61938-3639
Practice Telephone 2172343222
Mailing Telephone 2172343222
Enumeration Date 2019-07-02
Last Update Date 2019-07-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver Other Service Providers

Other Providers MICHAEL DAVIS

NPI Name Taxonomy Address Enumeration
1326676842 Michael Davis Student in an Organized Health Care Education/Training Program 10301 Gateway Blvd W Ste 100, El Paso, TX 79925-7701 2020-03-30
1518451988 Michael Scott Davis Dentist 290 Citrus Tower Blvd Ste 104, Clermont, FL 34711-2783 2018-06-19
1629582002 Michael Davis Physical Therapist 2093 Irene Ln, Idaho Falls, ID 83404-7167 2017-11-21
1912416637 Michael Christopher Davis Registered Nurse 18945 East Redden Road, Georgetown, DE 19947 2017-09-26
1760938534 Michael Anthony Davis I Counselor 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 2016-08-31
1619423894 Michael Davis Specialist/Technologist 129 Greenvale Dr, Lexington, SC 29072-7360 2016-08-29
1376901645 Michael Davis Jr. Massage Therapist 3245 Harness Dr, Florissant, MO 63033-3715 2016-02-02
1306186978 Michael James Davis Counselor 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 2013-02-19
1689928061 Michael Arthur Davis Surgery 2744 Silver Creek Rd, Bullhead City, AZ 86442-7913 2012-11-06
1124387212 Michael Kenny Davis Chiropractor 712 N Snshn Strip Ste 35, Harlingen, TX 78550-8897 2012-05-09

Office Location

Street Address 502 W PARK PLZ
City MATTOON
State IL
Zip Code 61938-3639

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043831134 St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or Clinic/Center 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 2020-04-30
1215436449 Sarah Bush Lincoln Health Center Durable Medical Equipment & Medical Supplies 300 Coles Centre Pkwy, Mattoon, IL 61938 2018-02-02
1841707726 Mattoon Chiropractic LLC Chiropractor 905 Remington Rd, Mattoon, IL 61938 2018-01-02
1164892758 Dr. Charles L. Schnibben Ltd. Dentist 1502 Lakeland Blvd, Mattoon, IL 61938 2015-09-25
1982000139 Judy A. Clark Hearing Instrument Specialist 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 2014-11-17
1023419884 Christopher Steven Lillie Physician Assistant 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 2014-09-11
1295055168 Jennifer Harp Mechanotherapist 232 Richmond Ave East, Mattoon, IL 61938 2010-06-02
1447482682 Gene Clark Hearing Aid Service Hearing Aid Equipment 208 Wabash, Mattoon, IL 61938 2009-08-21
1326229774 Central Illinois Family Health Center Nurse Practitioner 10555 East County Rd 800 North, Mattoon, IL 61938 2007-11-14
1568656445 Bernie Ranchero Family Medicine 1004 Health Center Dr Ste 210, Mattoon, IL 61938 2007-09-04
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265033179 Nakiesha Walton Driver 807 Ridge Dr # 520, Dekalb, IL 60115-1385 2020-11-06
1679173025 Victoria Williams Driver 853 N Highland Ave Ste C, Aurora, IL 60506-2218 2020-10-27
1669088175 Robert D Smith Driver 7400 Timbercrest Dr, Godfrey, IL 62035-2894 2020-09-20
1104435551 Oluwagbenga Afiamoye Ojo Driver 6969 N Ashland Blvd Unit 101, Chicago, IL 60626-3354 2020-07-30
1780216622 David Woods Driver 802 Mountaineer Ln Apt C, Marion, IL 62959-4132 2020-02-09
1619508843 Tywan Thompson Driver 1329 Coldspring Rd, Carol Stream, IL 60188-4713 2020-01-27
1437789732 Ruby Nelson Driver 14429 S Emerald Ave, Riverdale, IL 60827-2618 2020-01-25
1861030009 National Center for Economics Driver 300 Read St Ste B, Lockport, IL 60441-3265 2019-12-18
1811530769 Safeway Transportation Services Corp Driver 550 N Green Bay Rd Ste 1, Waukegan, IL 60085-3183 2019-10-23
1912548611 Best Transportation & Logistics Driver 11958 S Paulina St, Calumet Park, IL 60827-5316 2019-10-03
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Competitor

Search similar providers

City MATTOON
Zip Code 61938

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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