Davis, Jacalyn Vannessa

Davis, Jacalyn Vannessa is an sole proprietor health care provider with primary practice located at 709 E Madison St , Louisville KY 40202-1629. She recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as her primary health care specialty. Davis, Jacalyn Vannessa can be contacted via phone (502) 377-0628.

Contact Information

Primary practice address
709 E Madison St Louisville KY 40202-1629
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X KSCA176 Kentucky

Profile Details

NPI number 1073763801
LBN Legal business name Davis, Jacalyn Vannessa
Credentials KCSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2008
Last updated Sep 29th, 2008 - about 17 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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