Davis, Lisa E

Davis, Lisa E is an sole proprietor health care provider with primary practice located at 1206 Highway 411 , Vonore TN 37885-2455. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis, Lisa E can be contacted via phone (423) 884-7271.

Contact Information

Primary practice address
1206 Highway 411 Vonore TN 37885-2455
Phone: (423) 884-7271
Fax: (423) 884-3277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW0000000508 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0508 Tennessee

Profile Details

NPI number 1457413932
LBN Legal business name Davis, Lisa E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Aug 17th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457413932 NPPES
Tennessee Other 4045434 B.C.B.S.T.N.
Tennessee MEDICAID 3693562 B.C.B.S.T.N.
Tennessee Other 000146732 B.C.B.S.T.N.
Tennessee MEDICAID 1508351 B.C.B.S.T.N.

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