Davis, Donald

Davis, Donald is an individual health care provider with primary practice located at 990 Illinois St , Plymouth IN 46563-3622. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Davis, Donald can be contacted via phone (574) 936-9646.

Contact Information

Primary practice address
990 Illinois St Plymouth IN 46563-3622
Phone: (574) 936-9646
Fax: (574) 935-4773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 86000001A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CII-1433 Indiana

Profile Details

NPI number 1598193369
LBN Legal business name Davis, Donald
Credentials LAC, CADAC II
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2013
Last updated Oct 14th, 2013 - about 13 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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