Davis, Joanna Brooke
Davis, Joanna Brooke is an individual health care provider with primary practice located at 930 N Ferdon Blvd , Crestview FL 32536-1706. 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, Joanna Brooke can be contacted via phone (850) 331-2987.Contact Information
Primary practice address
930 N Ferdon Blvd
Crestview FL 32536-1706
Phone: (850) 331-2987
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA15824 | Florida |
Profile Details
NPI number | 1376059907 |
---|---|
LBN Legal business name | Davis, Joanna Brooke |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 19th, 2017 |
Last updated | Jul 15th, 2020 - about 5 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 | 1376059907 | NPPES |
Other | 1497122725 | TRICARE |
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