Davis, Mary K

Davis, Mary K is an individual health care provider with primary practice located at 300 N Main St , East Peoria IL 61611-2016. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Mary K can be contacted via phone (866) 825-3227.

Contact Information

Primary practice address
300 N Main St East Peoria IL 61611-2016
Phone: (866) 825-3227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209006024 Illinois

Profile Details

NPI number 1851548598
LBN Legal business name Davis, Mary K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2008
Last updated Dec 16th, 2011 - about 13 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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