Davis, Susan Ellen
Davis, Susan Ellen is an individual health care provider with primary practice located at 945 W 8Th St Mesa Public Schools Westwood High School, Mesa AZ 85201-3999. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Davis, Susan Ellen can be contacted via phone (480) 472-4400.Contact Information
Primary practice address
945 W 8Th St Mesa Public Schools Westwood High School
Mesa AZ 85201-3999
Phone: (480) 472-4400
Fax: (480) 472-4509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Arizona |
Profile Details
| NPI number | 1861617938 |
|---|---|
| LBN Legal business name | Davis, Susan Ellen |
| Credentials | EDS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1861617938 | NPPES |
| Arizona | MEDICAID | 636970 |
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