Davis, Clara Ann
Davis, Clara Ann is an individual health care provider with primary practice located at 210 Avenue C , Danville IL 61832-5410. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Other Service Providers / Driver is her primary health care specialty. Davis, Clara Ann can be contacted via phone (217) 442-3200.Contact Information
Primary practice address
210 Avenue C
Danville IL 61832-5410
Phone: (217) 442-3200
Fax: (217) 442-7460
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Driver | 172A00000X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
NPI number | 1154442036 |
---|---|
LBN Legal business name | Davis, Clara Ann |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 2nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154442036 | NPPES |
Illinois | Other | CO 36150598P | EARLY INTERVENTION (CBO) |
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