Davis, Martha Marie
Davis, Martha Marie is an sole proprietor health care provider with primary practice located at 5959 Gateway Blvd W Suite 100, El Paso TX 79925-3331. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Davis, Martha Marie can be contacted via phone (915) 799-9552.Contact Information
Primary practice address
5959 Gateway Blvd W Suite 100
El Paso TX 79925-3331
Phone: (915) 799-9552
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1639358971 |
|---|---|
| LBN Legal business name | Davis, Martha Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2007 |
| Last updated | Aug 9th, 2016 - about 8 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 | 1639358971 | NPPES |
| South Carolina | MEDICAID | 421504 |
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