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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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 1912164047 NPPES
Wisconsin MEDICAID 35059300

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