Davidsen, Ann Bacon
Davidsen, Ann Bacon is an sole proprietor health care provider with primary practice located at 600 N Bradley Rd , Lake Forest IL 60045-1020. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Davidsen, Ann Bacon can be contacted via phone (847) 615-8696.Contact Information
Primary practice address
600 N Bradley Rd
Lake Forest IL 60045-1020
Phone: (847) 615-8696
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 056.001865 | Illinois |
Profile Details
| NPI number | 1982832382 |
|---|---|
| LBN Legal business name | Davidsen, Ann Bacon |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2009 |
| Last updated | Jun 24th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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