Davis, Sherry C

Davis, Sherry C is an individual health care provider with primary practice located at 2349 Lake Ave Suite 100, Plymouth IN 46563-7835. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Davis, Sherry C can be contacted via phone (574) 948-5100.

Contact Information

Primary practice address
2349 Lake Ave Suite 100 Plymouth IN 46563-7835
Phone: (574) 948-5100
Fax: (574) 948-5499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000035A Indiana

Profile Details

NPI number 1881616324
LBN Legal business name Davis, Sherry C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 14th, 2016 - about 8 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 1881616324 NPPES
Indiana MEDICAID 200813420A

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