Davis, Susan

Davis, Susan is an individual health care provider with primary practice located at 85 Mechanic St , Lebanon NH 03766-1537. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Davis, Susan can be contacted via phone (603) 448-5610.

Contact Information

Primary practice address
85 Mechanic St Lebanon NH 03766-1537
Fax:
Website:

Health care specialties

Profile Details

NPI number 1972115475
LBN Legal business name Davis, Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2020
Last updated Aug 18th, 2020 - about 4 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 1972115475 NPPES
New Hampshire MEDICAID 3077550

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