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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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