Davis, Susan Leslie

Davis, Susan Leslie is an individual health care provider with primary practice located at 172 Main Street , Sand Point AK 99661-0172. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Davis, Susan Leslie can be contacted via phone (907) 383-3151.

Contact Information

Primary practice address
172 Main Street Sand Point AK 99661-0172
Fax: (907) 383-5688
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 08-983-P Alaska

Profile Details

NPI number 1881847556
LBN Legal business name Davis, Susan Leslie
Credentials CHP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated Apr 3rd, 2019 - about 6 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 1881847556 NPPES
Alaska Other 174400000X SPECIALIST

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