Davis, Susan E
Davis, Susan E is an individual health care provider with primary practice located at N6716 Lake Lorraine Rd , Delavan WI 53115-2503. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Davis, Susan E can be contacted via phone (608) 883-2176.Contact Information
Primary practice address
N6716 Lake Lorraine Rd
Delavan WI 53115-2503
Phone: (608) 883-2176
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 309441031 | Wisconsin |
Profile Details
| NPI number | 1912164047 |
|---|---|
| LBN Legal business name | Davis, Susan E |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2008 |
| Last updated | May 16th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912164047 | NPPES |
| Wisconsin | MEDICAID | 35059300 |
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