Provider Demographics
NPI:1598917015
Name:DAVIS, PATRICK C (BCHIS)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:C
Last Name:DAVIS
Suffix:
Gender:M
Credentials:BCHIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9200 W CROSS DR STE 250
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-0701
Mailing Address - Country:US
Mailing Address - Phone:303-904-3277
Mailing Address - Fax:303-904-4370
Practice Address - Street 1:9200 W CROSS DR STE 250
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-0701
Practice Address - Country:US
Practice Address - Phone:303-904-3277
Practice Address - Fax:303-904-4370
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO46OtherSTATE LICENSE