Davis, Nickolas B
Davis, Nickolas B is an individual health care provider with primary practice located at 450 Technology Park , Lake Mary FL 32746-6203. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Davis, Nickolas B can be contacted via phone (407) 320-9348.Contact Information
Primary practice address
450 Technology Park
Lake Mary FL 32746-6203
Phone: (407) 320-9348
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW11627 | Florida |
Profile Details
NPI number | 1558645341 |
---|---|
LBN Legal business name | Davis, Nickolas B |
Credentials | MED, MSW, LCSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 28th, 2011 |
Last updated | Oct 7th, 2013 - 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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