Davis, Cody W
Davis, Cody W is an sole proprietor health care provider with primary practice located at 910 W Main Pl Ste I , Russellville AR 72801-3510. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Davis, Cody W can be contacted via phone (479) 453-9964.Contact Information
Primary practice address
910 W Main Pl Ste I
Russellville AR 72801-3510
Phone: (479) 453-9964
Fax: (479) 500-1353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P1511126 | Arkansas |
Profile Details
| NPI number | 1285906966 |
|---|---|
| LBN Legal business name | Davis, Cody W |
| Credentials | P1511126 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2012 |
| Last updated | Apr 18th, 2024 - about 8 months 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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