Davis, Charles Nelson

Davis, Charles Nelson is an sole proprietor health care provider with primary practice located at 1730 E 3100 N Ste 2 , Layton UT 84040-2408. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Davis, Charles Nelson can be contacted via phone (801) 643-1652.

Contact Information

Primary practice address
1730 E 3100 N Ste 2 Layton UT 84040-2408
Phone: (801) 643-1652
Fax: (801) 779-7808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 5891951-3904 Utah

Profile Details

NPI number 1689899502
LBN Legal business name Davis, Charles Nelson
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jul 7th, 2021 - about 3 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 1689899502 NPPES
Utah Other 260022408 RAILROAD MEDICARE
Utah MEDICAID 876000308007 RAILROAD MEDICARE

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