MEDICARE: DR. CONNOR DAVIS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	05485	OH

General Provider Information

NPI Number	:	1306703491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CONNOR DAVIS DC

Provider Business Mailing Address
First Line	:	1030 HAYES AVE
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-3339
Country	:	US
Telephone Number	:	419-559-5591
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 HAYES AVE
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-3339
Country	:	US
Telephone Number	:	419-559-5591
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ DR. CONNOR DAVIS DC” Practice Location

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