Davis, Alicia

Davis, Alicia is an individual health care provider with primary practice located at 2 Good Samaritan Way , Mount Vernon IL 62864-2408. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Davis, Alicia can be contacted via phone (618) 899-3869.

Contact Information

Primary practice address
2 Good Samaritan Way Mount Vernon IL 62864-2408
Phone: (618) 899-3869
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209014455 Illinois

Profile Details

NPI number 1437506722
LBN Legal business name Davis, Alicia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2016
Last updated Feb 3rd, 2021 - about 4 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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