Davis, Ida

Davis, Ida is an sole proprietor health care provider with primary practice located at 570 West Cheyenne Avenue , North Las Vegas NV 89030. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Ida can be contacted via phone (702) 205-2513.

Contact Information

Primary practice address
570 West Cheyenne Avenue North Las Vegas NV 89030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X MI0553 Nevada

Profile Details

NPI number 1114320165
LBN Legal business name Davis, Ida
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2014
Last updated Oct 6th, 2014 - 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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