Davis, Carl D

Davis, Carl D is an individual health care provider with primary practice located at 307 N Main St , Windsor MO 65360-1449. He recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as his primary health care specialty. Davis, Carl D can be contacted via phone (660) 647-9921.

Contact Information

Primary practice address
307 N Main St Windsor MO 65360-1449
Phone: (660) 647-9921
Fax: (660) 647-3617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2002030477 Missouri

Profile Details

NPI number 1366468126
LBN Legal business name Davis, Carl D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366468126 NPPES
Missouri MEDICAID 498319300

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