Davis, Etta Pearl

Davis, Etta Pearl is an sole proprietor health care provider with primary practice located at 4638 Se 29Th St , Del City OK 73115-3429. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Davis, Etta Pearl can be contacted via phone (405) 670-4644.

Contact Information

Primary practice address
4638 Se 29Th St Del City OK 73115-3429
Phone: (405) 670-4644
Fax: (405) 670-4444
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1831463371
LBN Legal business name Davis, Etta Pearl
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2012
Last updated Mar 1st, 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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