Davis, Mwindaace

Davis, Mwindaace is an sole proprietor health care provider with primary practice located at 3304 W Galveston Pl , Broken Arrow OK 74012-3255. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Davis, Mwindaace can be contacted via phone (918) 277-9744.

Contact Information

Primary practice address
3304 W Galveston Pl Broken Arrow OK 74012-3255
Phone: (918) 277-9744
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1598166803
LBN Legal business name Davis, Mwindaace
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2014
Last updated Sep 7th, 2014 - about 11 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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