Davis, Demarcus C

Davis, Demarcus C is an sole proprietor health care provider with primary practice located at 1088 Rogers Rd , Cordova TN 38018-8546. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Davis, Demarcus C can be contacted via phone (901) 359-8330.

Contact Information

Primary practice address
1088 Rogers Rd Cordova TN 38018-8546
Phone: (901) 359-8330
Fax: (901) 757-4212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2127 Tennessee

Profile Details

NPI number 1619019007
LBN Legal business name Davis, Demarcus C
Credentials LPC-MHSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Dec 3rd, 2010 - about 14 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 1619019007 NPPES
Tennessee Other 11993318 CAQH
Tennessee MEDICAID 1520532 CAQH

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