Edward Davis, MS is a
Counselor - Professional based in Letha, Idaho. Edward Davis is licensed to practice in Idaho (license number LPC-9028) and his current practice location is
8401 W Idaho Blvd, Letha, Idaho. He can be reached at his office (for appointments etc.) via phone at
(986) 895-4507.
NPI number for Edward Davis is 1083340137 and his current mailing address is 8401 W Idaho Blvd, Letha, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083340137.
Healthcare Provider's Profile
Full Name | Edward Davis |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 8401 W Idaho Blvd, Letha, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083340137
- Provider Enumeration Date: 07/29/2022
- Last Update Date: 07/29/2022
Medical Identifiers
Medical identifiers for Edward Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083340137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | LPC-9028 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edward Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Edward Davis, MS 8401 W Idaho Blvd, Letha, ID 83636-7706 Ph: (986) 895-4507 | Edward Davis, MS 8401 W Idaho Blvd, Letha, ID 83636-7706 Ph: (986) 895-4507 |
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