Davis, Marcia Antonia

Davis, Marcia Antonia is an individual health care provider with primary practice located at 4646 John R St , Detroit MI 48201-1916. She recently has only one registered license in Nursing Service Providers / Gerontology, which is considered as her primary health care specialty. Davis, Marcia Antonia can be contacted via phone (313) 576-1000.

Contact Information

Primary practice address
4646 John R St Detroit MI 48201-1916
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X 4704341865 Michigan

Profile Details

NPI number 1881310225
LBN Legal business name Davis, Marcia Antonia
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2022
Last updated Oct 18th, 2022 - about 3 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 1881310225 NPPES
Michigan Other 4704341865 REGISTERED NURSE

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