Davis, Beverly M

Davis, Beverly M is an sole proprietor health care provider with primary practice located at 1808 16Th Ave N , Lake Worth FL 33460-6447. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Davis, Beverly M can be contacted via phone (561) 667-3255.

Contact Information

Primary practice address
1808 16Th Ave N Lake Worth FL 33460-6447
Phone: (561) 667-3255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X 020408000 Florida

Profile Details

NPI number 1184183188
LBN Legal business name Davis, Beverly M
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2019
Last updated Mar 19th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184183188 NPPES
Florida MEDICAID 020408000

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