Davison, Vicki
Davison, Vicki is an sole proprietor health care provider with primary practice located at 1040 4Th Ave , Lake Odessa MI 48849-1004. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Davison, Vicki can be contacted via phone (616) 460-6848.Contact Information
Primary practice address
1040 4Th Ave
Lake Odessa MI 48849-1004
Phone: (616) 460-6848
Fax: (616) 676-4253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | Michigan | |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6301013957 | Michigan |
Profile Details
| NPI number | 1083133607 |
|---|---|
| LBN Legal business name | Davison, Vicki |
| Credentials | LLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2017 |
| Last updated | Sep 14th, 2017 - about 7 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 | 1083133607 | NPPES |
| Michigan | Other | 6301013957 | LICENSE |
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