Modisette, Davin Ray

Modisette, Davin Ray is an individual health care provider with primary practice located at 23 Westhaven Pl , Jackson TN 38305-1758. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Modisette, Davin Ray can be contacted via phone (318) 475-0690.

Contact Information

Primary practice address
23 Westhaven Pl Jackson TN 38305-1758
Phone: (318) 475-0690
Fax: (731) 435-3385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X 487010 Tennessee

Profile Details

NPI number 1356721245
LBN Legal business name Modisette, Davin Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2015
Last updated Dec 28th, 2022 - 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.

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