Mcpheron, Davina

Mcpheron, Davina is an sole proprietor health care provider with primary practice located at 165 E Park Ave , Niles OH 44446-2352. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mcpheron, Davina can be contacted via phone (330) 544-8005.

Contact Information

Primary practice address
165 E Park Ave Niles OH 44446-2352
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S.1451000 Ohio

Profile Details

NPI number 1902293632
LBN Legal business name Mcpheron, Davina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2015
Last updated Apr 21st, 2015 - about 10 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 1902293632 NPPES
Ohio MEDICAID 2847254

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