Davis, Henry Jeffrey

Davis, Henry Jeffrey is an individual health care provider with primary practice located at 9615 E 148Th St Suite 1, Noblesville IN 46060-4360. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davis, Henry Jeffrey can be contacted via phone (317) 587-0533.

Contact Information

Primary practice address
9615 E 148Th St Suite 1 Noblesville IN 46060-4360
Fax: (317) 674-0060
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20010296A Indiana

Profile Details

NPI number 1407858129
LBN Legal business name Davis, Henry Jeffrey
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Oct 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407858129 NPPES
Indiana MEDICAID 100128540

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