Davis, Jon

Davis, Jon is an sole proprietor health care provider with primary practice located at 202 W Park Ave , Champaign IL 61820-3929. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davis, Jon can be contacted via phone (217) 373-2430.

Contact Information

Primary practice address

202 W Park Ave Champaign IL 61820-3929

Phone: (217) 373-2430

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Clinical	1041C0700X		Illinois

Profile Details

NPI number	1376605881
LBN Legal business name	Davis, Jon
Credentials	MSW, LCSW
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Dec 14th, 2006
Last updated	Jul 8th, 2007 - 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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