Doctor Name: | CHRISTOPHER JACKSON DAVIS |
NPI Number: | 1144473208 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS-007771-L |
Business Practice Address: | 716 State St Lemoyne, PA - 170431536 |
Business Phone Number: | 7173032035 |
Business Fax Number: | 7173035927 |
Mailing Address: | 716 State St, LEMOYNE |
State: | PA |
Postal Code: | 170431536 |
Phone Number: | 7173032035 |
Fax Number: | 7173035927 |
NPI Enumeration Date: | 11/02/2008 |
NPI Last Update Date: | 11/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0401X |
License Number: | OS-007771-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |