Davis, Willie Michael

Davis, Willie Michael is an individual health care provider with primary practice located at 1498 E Main St Suite No. 108, Cottage Grove OR 97424-2204. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Davis, Willie Michael can be contacted via phone (541) 942-8444.

Contact Information

Primary practice address
1498 E Main St Suite No. 108 Cottage Grove OR 97424-2204
Phone: (541) 942-8444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HASP10135362 Oregon

Profile Details

NPI number 1407157266
LBN Legal business name Davis, Willie Michael
Credentials HEARING AID DISPENSE
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2010
Last updated Nov 10th, 2010 - about 15 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 1407157266 NPPES
Oregon Other HASP10135362 OREGON LICENSE NUMBER

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