Davis, Marvetta
Davis, Marvetta is an individual health care provider with primary practice located at 281 West 4Th Street , Independence LA 70443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Davis, Marvetta can be contacted via phone (985) 878-0066.Contact Information
Primary practice address
281 West 4Th Street
Independence LA 70443
Phone: (985) 878-0066
Fax: (985) 878-0969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 12365R | Louisiana |
Profile Details
| NPI number | 1760520415 |
|---|---|
| LBN Legal business name | Davis, Marvetta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1760520415 | NPPES |
| Louisiana | MEDICAID | 1697761 |
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