Davis, Susan Rebecca
Davis, Susan Rebecca is an sole proprietor health care provider with primary practice located at 4301 89Th St , Lubbock TX 79423-2904. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Davis, Susan Rebecca can be contacted via phone (806) 798-7676.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G8070 | Texas |
Profile Details
| NPI number | 1265403182 |
|---|---|
| LBN Legal business name | Davis, Susan Rebecca |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Oct 26th, 2011 - about 13 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 | 1265403182 | NPPES |
| Texas | MEDICAID | 139779621 |
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