Davis, Jo
Davis, Jo is an sole proprietor health care provider with primary practice located at 1001 W Broadway Ste. C, Farmington NM 87401-5638. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Davis, Jo can be contacted via phone (505) 326-4383.Contact Information
Primary practice address
1001 W Broadway Ste. C
Farmington NM 87401-5638
Phone: (505) 326-4383
Fax: (505) 325-1925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-05901 | New Mexico |
Profile Details
| NPI number | 1093728347 |
|---|---|
| LBN Legal business name | Davis, Jo |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093728347 | NPPES |
| New Mexico | MEDICAID | 74559079 |
Popular Providers
-
Castenell, Michael Louis
209 N Lorena Ave , Farmington NM 87401-8446 -
Hein, Sean Michael
851 Andrea Dr Bldg E Ste 4 , Farmington NM 87401-6726 -
Burgess, Virginia Lee
1001 W Broadway Ste D Behavioral Health Dept., Farmington NM 87401-5638 -
Chaloner, Cheryl
501 Airport Dr Ste 253 , Farmington NM 87401-2646 -
Carlson, Kristine Leigh
1615 Ojo Court , Farmington NM 87401-5638 -
Matthews, Camille
904 E 20Th St Ste B, Farmington NM 87401 -
Trujillo, Hope
3401 E 30Th St , Farmington NM 87402-8805 -
Novak, Andreas
3300 N Butler Ave Suite 204, Farmington NM 87401-5621