Healthcare Provider Details

I. General information

NPI: 1821945577
Provider Name (Legal Business Name): CHRISTOPHER ALLEN DAVIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 STANTON AVE APT 2
SPRINGFIELD OH
45503-3700
US

IV. Provider business mailing address

222 STANTON AVE APT 2
SPRINGFIELD OH
45503-3700
US

V. Phone/Fax

Practice location:
  • Phone: 937-717-8491
  • Fax:
Mailing address:
  • Phone: 937-717-8491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.007266
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: