Davidson, Sherry Lee

Davidson, Sherry Lee is an sole proprietor health care provider with primary practice located at 200 N 7Th Ave , Sturgeon Bay WI 54235-1708. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Davidson, Sherry Lee can be contacted via phone (920) 743-6274.

Contact Information

Primary practice address
200 N 7Th Ave Sturgeon Bay WI 54235-1708
Phone: (920) 743-6274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 787-19 Wisconsin

Profile Details

NPI number 1841467230
LBN Legal business name Davidson, Sherry Lee
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2008
Last updated Dec 29th, 2012 - about 14 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 1841467230 NPPES
Wisconsin MEDICAID 1841467230

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