Davis, Richard
Davis, Richard is an sole proprietor health care provider with primary practice located at 3485 Promenade Pl Apt 101, Waldorf MD 20603-7280. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Davis, Richard can be contacted via phone (301) 848-6074.Contact Information
Primary practice address
3485 Promenade Pl Apt 101
Waldorf MD 20603-7280
Phone: (301) 848-6074
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CACII1201 | District of Columbia |
Profile Details
NPI number | 1104370865 |
---|---|
LBN Legal business name | Davis, Richard |
Credentials | CAC II, NCAC I |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 11th, 2016 |
Last updated | Aug 11th, 2016 - about 9 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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