Davis, Gideon A

Davis, Gideon A is an sole proprietor health care provider with primary practice located at 520 Dudley St , Roxbury MA 02119-2769. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Davis, Gideon A can be contacted via phone (617) 334-4309.

Contact Information

Primary practice address
520 Dudley St Roxbury MA 02119-2769
Phone: (617) 334-4309
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1538447651
LBN Legal business name Davis, Gideon A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2011
Last updated Jul 22nd, 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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