Individual provider · Type 1 NPI

Michael Vernon Davis I

Driver · Mattoon, IL

NPI number 1962064691 Active

Practice location

502 W Park Plz
Mattoon, IL 61938-3639

Call (217) 234-3222 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1962064691

Michael Vernon Davis I's National Provider Identifier is 1962064691, issued on Jul 2, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Mattoon, IL. The record was last updated on Jul 2, 2019.