Davis, Clancy

Davis, Clancy is an individual health care provider with primary practice located at 124 South Broadway Suite 200, Ada OK 74820-0000. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Davis, Clancy can be contacted via phone (580) 332-3001.

Contact Information

Primary practice address
124 South Broadway Suite 200 Ada OK 74820-0000
Phone: (580) 332-3001
Fax: (580) 332-8774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1023488392
LBN Legal business name Davis, Clancy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2015
Last updated Sep 30th, 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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