Davis, Jasmine

Davis, Jasmine is an individual health care provider with primary practice located at 1941 S 42Nd St , Omaha NE 68105-2982. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Davis, Jasmine can be contacted via phone (402) 459-0346.

Contact Information

Primary practice address
1941 S 42Nd St Omaha NE 68105-2982
Phone: (402) 459-0346
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1366990152
LBN Legal business name Davis, Jasmine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2016
Last updated Sep 21st, 2016 - about 9 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 1366990152 NPPES
Nebraska MEDICAID 8133668442

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