Davis, Carol Louise

Davis, Carol Louise is an individual health care provider with primary practice located at 303 E Vanderbilt Way , San Bernardino CA 92415-0928. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Davis, Carol Louise can be contacted via phone (909) 386-8207.

Contact Information

Primary practice address
303 E Vanderbilt Way San Bernardino CA 92415-0928
Phone: (909) 386-8207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS23451 California
Nursing Service Providers / Registered Nurse 163W00000X 396826 California

Profile Details

NPI number 1225174030
LBN Legal business name Davis, Carol Louise
Credentials RN, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Mar 4th, 2015 - about 11 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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