Davis, Bianca
Davis, Bianca is an sole proprietor health care provider with primary practice located at 18610 Morris Ave , Homewood IL 60430-3628. She recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as her primary health care specialty. Davis, Bianca can be contacted via phone (708) 860-2143.Contact Information
Primary practice address
18610 Morris Ave
Homewood IL 60430-3628
Phone: (708) 860-2143
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | 043.110334 | Illinois |
Profile Details
| NPI number | 1588039556 |
|---|---|
| LBN Legal business name | Davis, Bianca |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 2nd, 2015 |
| Last updated | Dec 2nd, 2015 - about 9 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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