Davis, Jacqueline Maud

Davis, Jacqueline Maud is an individual health care provider with primary practice located at 1223 Madison St , Beaver Dam WI 53916-2629. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Davis, Jacqueline Maud can be contacted via phone (920) 885-4750.

Contact Information

Primary practice address
1223 Madison St Beaver Dam WI 53916-2629
Phone: (920) 885-4750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3768-154 Wisconsin

Profile Details

NPI number 1598106106
LBN Legal business name Davis, Jacqueline Maud
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2013
Last updated Jul 11th, 2013 - about 12 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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