Davis, Karen
Davis, Karen is an sole proprietor health care provider with primary practice located at 9719 Candelaria Rd Ne # 20945 , Albuquerque NM 87111-9211. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Davis, Karen can be contacted via phone (505) 977-5904.Contact Information
Primary practice address
9719 Candelaria Rd Ne # 20945
Albuquerque NM 87111-9211
Phone: (505) 977-5904
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
| NPI number | 1295368595 |
|---|---|
| LBN Legal business name | Davis, Karen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2020 |
| Last updated | Feb 15th, 2020 - about 4 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 | 1295368595 | NPPES |
| New Mexico | MEDICAID | IHQQ7SPH35 |
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