Betts, Davina Monique
Betts, Davina Monique is an individual health care provider with primary practice located at 400 Riverside Dr Ste 2800 , Bourbonnais IL 60914-5004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Betts, Davina Monique can be contacted via phone (815) 935-1100.Contact Information
Primary practice address
400 Riverside Dr Ste 2800
Bourbonnais IL 60914-5004
Phone: (815) 935-1100
Fax: (815) 937-5966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085001933 | Illinois |
Profile Details
| NPI number | 1558494724 |
|---|---|
| LBN Legal business name | Betts, Davina Monique |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2007 |
| Last updated | Mar 22nd, 2021 - about 5 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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