Davison, Desiree Marie
Davison, Desiree Marie is an sole proprietor health care provider with primary practice located at 1000 Greg Krushek Ave , Nome AK 99762-9976. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Davison, Desiree Marie can be contacted via phone (907) 890-3311.Contact Information
Primary practice address
1000 Greg Krushek Ave
Nome AK 99762-9976
Phone: (907) 890-3311
Fax: (907) 890-2280
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | Alaska |
Profile Details
| NPI number | 1508533407 |
|---|---|
| LBN Legal business name | Davison, Desiree Marie |
| Credentials | CHA-T |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2021 |
| Last updated | Aug 27th, 2021 - about 3 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 | 1508533407 | NPPES |
| Alaska | Other | CHA-T | CHA-T |
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