Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael Vernon Davis I

Individual provider Driver · NPI 1962064691

Mr. Michael Vernon Davis I is a Driver in Mattoon, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

502 W Park Plz
Mattoon, IL 61938-3639
Phone: (217) 234-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X

Record details

NPI number1962064691
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 2, 2019
Last updated in NPPESJuly 2, 2019
Mailing address502 W Park Plz, Mattoon, IL 61938-3639