Davis, Todd

Davis, Todd is an sole proprietor health care provider with primary practice located at 2342 Avenida Del Vis , Corona CA 92882-5657. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Davis, Todd can be contacted via phone (951) 642-4394.

Contact Information

Primary practice address
2342 Avenida Del Vis Corona CA 92882-5657
Phone: (951) 642-4394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 060002468 California

Profile Details

NPI number 1326688938
LBN Legal business name Davis, Todd
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2020
Last updated Jan 11th, 2020 - about 5 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 1326688938 NPPES
California Other C7036284 CA

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