Davis, Tenea Claudette
Davis, Tenea Claudette is an sole proprietor health care provider with primary practice located at 122 Chestnut St , Springfield MA 01103-1538. She recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as her primary health care specialty. Davis, Tenea Claudette can be contacted via phone (857) 756-0313.Contact Information
Primary practice address
122 Chestnut St
Springfield MA 01103-1538
Phone: (857) 756-0313
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | Massachusetts |
Profile Details
| NPI number | 1528535770 |
|---|---|
| LBN Legal business name | Davis, Tenea Claudette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2018 |
| Last updated | Oct 25th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528535770 | NPPES |
| Other | MTN982371862 | BLUE CROSS BLUE SHIELD |
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