Davis, Brenna

Davis, Brenna is an sole proprietor health care provider with primary practice located at 2519 N 64Th St , Wauwatosa WI 53213-1405. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Davis, Brenna can be contacted via phone (414) 379-7446.

Contact Information

Primary practice address
2519 N 64Th St Wauwatosa WI 53213-1405
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1015912299 Wisconsin

Profile Details

NPI number 1588149975
LBN Legal business name Davis, Brenna
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2018
Last updated Oct 1st, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588149975 NPPES
Wisconsin Other 1015912299 WISCONSIN DEPARTMENT OF PUBLIC INSTRUCTION

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