Healthcare Provider Details

I. General information

NPI: 1407768104
Provider Name (Legal Business Name): DEVIN DAVIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MANOR HILL RD
FINDLAY OH
45840-6667
US

IV. Provider business mailing address

627 KENWOOD AVE
BOWLING GREEN OH
43402-3704
US

V. Phone/Fax

Practice location:
  • Phone: 419-949-9186
  • Fax:
Mailing address:
  • Phone: 567-294-2290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2613911
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: