Davis, Brenda

Davis, Brenda is an sole proprietor health care provider with primary practice located at 609 E Orangeburg Ave , Modesto CA 95350-5580. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Davis, Brenda can be contacted via phone (209) 572-3224.

Contact Information

Primary practice address
609 E Orangeburg Ave Modesto CA 95350-5580
Phone: (209) 572-3224
Fax: (209) 572-4528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 04-0222 California

Profile Details

NPI number 1457481269
LBN Legal business name Davis, Brenda
Credentials ORT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457481269 NPPES
California Other 04-0222 CERT ORTHOPAEDIC TECH

Popular Providers