Davis, Judith A
Davis, Judith A is an individual health care provider with primary practice located at 1280 W. Main St. Ste 121 , Sun Prairie WI 53590. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Davis, Judith A can be contacted via phone (608) 241-2004.Contact Information
Primary practice address
1280 W. Main St. Ste 121
Sun Prairie WI 53590
Phone: (608) 241-2004
Fax: (608) 318-0859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3415 | Wisconsin |
Profile Details
| NPI number | 1023031275 |
|---|---|
| LBN Legal business name | Davis, Judith A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jan 3rd, 2019 - 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 | 1023031275 | NPPES |
| Wisconsin | MEDICAID | 38902800 |
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