Davis, Michael

Davis, Michael is an individual health care provider with primary practice located at 10609 W Ih 10 Ste 105 , San Antonio TX 78230-1673. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Davis, Michael can be contacted via phone (210) 344-5437.

Contact Information

Primary practice address
10609 W Ih 10 Ste 105 San Antonio TX 78230-1673
Phone: (210) 344-5437
Fax: (210) 340-1259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 148995 Texas

Profile Details

NPI number 1053890988
LBN Legal business name Davis, Michael
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2018
Last updated Aug 10th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053890988 NPPES
Texas MEDICAID 173913801

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