Vicencio, Normita Davila
Vicencio, Normita Davila is an individual health care provider with primary practice located at 4020 Venoy Road Suite 300, Wayne MI 48184. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vicencio, Normita Davila can be contacted via phone (734) 728-2909.Contact Information
Primary practice address
4020 Venoy Road Suite 300
Wayne MI 48184
Phone: (734) 728-2909
Fax: (734) 728-3015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | NV032288 | Michigan |
Profile Details
| NPI number | 1700973385 |
|---|---|
| LBN Legal business name | Vicencio, Normita Davila |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Aug 8th, 2007 - about 17 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 | 1700973385 | NPPES |
| Michigan | MEDICAID | 170375810 | |
| Michigan | Other | 1108258662 | |
| Michigan | Other | 110154734 |
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