Davis, Todd
Davis, Todd is an sole proprietor health care provider with primary practice located at 7175 State Route 104 , Mc Dermott OH 45652-8899. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Davis, Todd can be contacted via phone (740) 858-6683.Contact Information
Primary practice address
7175 State Route 104
Mc Dermott OH 45652-8899
Phone: (740) 858-6683
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 991670-2 | Ohio |
Profile Details
NPI number | 1346604626 |
---|---|
LBN Legal business name | Davis, Todd |
Credentials | LCDC II |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 12th, 2016 |
Last updated | Oct 16th, 2023 - about 2 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 | 1346604626 | NPPES |
Ohio | MEDICAID | 0289646 |
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