Davis, Debra R

Davis, Debra R is an sole proprietor health care provider with primary practice located at 446 Lily St , Mansfield OH 44903-1313. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Davis, Debra R can be contacted via phone (419) 522-1205.

Contact Information

Primary practice address
446 Lily St Mansfield OH 44903-1313
Phone: (419) 522-1205
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1487910808
LBN Legal business name Davis, Debra R
Credentials STNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2012
Last updated Apr 10th, 2012 - about 12 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 1487910808 NPPES
Ohio MEDICAID 2648880

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