Davis, Marisha S
Davis, Marisha S is an sole proprietor health care provider with primary practice located at 5007 W Fairy Chasm Ct , Brown Deer WI 53223-1406. She recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as her primary health care specialty. Davis, Marisha S can be contacted via phone (414) 595-0890.Contact Information
Primary practice address
5007 W Fairy Chasm Ct
Brown Deer WI 53223-1406
Phone: (414) 595-0890
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Prevention Professional | 405300000X | 3568832 | Wisconsin |
Profile Details
NPI number | 1902562101 |
---|---|
LBN Legal business name | Davis, Marisha S |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 11th, 2021 |
Last updated | Nov 11th, 2021 - 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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