Provider Demographics
NPI:1649430851
Name:DAVIS AND DAVIS INC
Entity type:Organization
Organization Name:DAVIS AND DAVIS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:CRUFF
Authorized Official - Suffix:
Authorized Official - Credentials:CFM
Authorized Official - Phone:540-387-1057
Mailing Address - Street 1:355 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-5019
Mailing Address - Country:US
Mailing Address - Phone:540-387-1057
Mailing Address - Fax:540-387-1966
Practice Address - Street 1:355 E 3RD ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-5019
Practice Address - Country:US
Practice Address - Phone:540-387-1057
Practice Address - Fax:540-387-1966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009190805Medicaid
VA0788870001Medicare NSC