Davis, Gene

Davis, Gene is an sole proprietor health care provider with primary practice located at 6640 Gloria St , Romulus MI 48174-4358. He recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as his primary health care specialty. Davis, Gene can be contacted via phone (734) 890-4623.

Contact Information

Primary practice address
6640 Gloria St Romulus MI 48174-4358
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X

Profile Details

NPI number 1942685490
LBN Legal business name Davis, Gene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2015
Last updated Jul 27th, 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 1942685490 NPPES
Michigan MEDICAID 0165642

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