Davis, Deborah

Davis, Deborah is an individual health care provider with primary practice located at 3605 College Ave , Conway AR 72034. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Davis, Deborah can be contacted via phone (501) 327-2235.

Contact Information

Primary practice address
3605 College Ave Conway AR 72034
Phone: (501) 327-2235
Fax: (501) 327-1601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT964 Arkansas

Profile Details

NPI number 1669428314
LBN Legal business name Davis, Deborah
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Dec 16th, 2015 - about 10 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 1669428314 NPPES
Arkansas Other 5S399 BCBS
Arkansas Other P01546505 BCBS
Arkansas MEDICAID 184657721 BCBS
Arkansas Other 710857801 BCBS
Arkansas Other A002 BCBS

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