Shannon, Davis

Shannon, Davis is an individual health care provider with primary practice located at 702 W Chestnut St , Bloomington IL 61701-2814. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Shannon, Davis can be contacted via phone (309) 557-1449.

Contact Information

Primary practice address
702 W Chestnut St Bloomington IL 61701-2814
Phone: (309) 557-1449
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1265985170
LBN Legal business name Shannon, Davis
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2016
Last updated Jul 27th, 2016 - about 8 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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