Davis, Sheila Sandubrae

Davis, Sheila Sandubrae is an sole proprietor health care provider with primary practice located at 830 Upper Cache Creek Dr. , Jackson WY 83001-1281. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Davis, Sheila Sandubrae can be contacted via phone (307) 733-5227.

Contact Information

Primary practice address
830 Upper Cache Creek Dr. Jackson WY 83001-1281
Phone: (307) 733-5227
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 259 Wyoming
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 101062 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 8459 Wyoming

Profile Details

NPI number 1538184742
LBN Legal business name Davis, Sheila Sandubrae
Credentials A.P.N., L.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Oct 5th, 2011 - about 13 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 1538184742 NPPES
Wyoming Other 000156000 MIS
Wyoming MEDICAID 110958800 MIS
Wyoming Other 303551 MIS
Wyoming MEDICAID 8056871000 MIS
Wyoming Other 169719 MIS
Wyoming Other 308004 MIS

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