Davis, Miesha

Davis, Miesha is an individual health care provider with primary practice located at 513 Prospect Ave , Asbury Park NJ 07712-6325. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Davis, Miesha can be contacted via phone (848) 234-7981.

Contact Information

Primary practice address
513 Prospect Ave Asbury Park NJ 07712-6325
Phone: (848) 234-7981
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1952808438
LBN Legal business name Davis, Miesha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2018
Last updated Apr 10th, 2018 - about 7 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 1952808438 NPPES
New Jersey MEDICAID D09215466461912

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