Davis, Gary S

Davis, Gary S is an sole proprietor health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504-0649. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist is his primary health care specialty. Davis, Gary S can be contacted via phone (928) 729-3741.

Contact Information

Primary practice address
Corner Of Route N12 And N7 Fort Defiance AZ 86504-0649
Phone: (928) 729-3741
Fax: (928) 729-8943
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 303490 New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 303490 New Mexico

Profile Details

NPI number 1336435718
LBN Legal business name Davis, Gary S
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2011
Last updated Jul 11th, 2011 - about 13 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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