Davis, Jane

Davis, Jane is an sole proprietor health care provider with primary practice located at 448 Lakeshore Pkwy , Rock Hill SC 29730-4264. She recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as her primary health care specialty. Davis, Jane can be contacted via phone (803) 329-3177.

Contact Information

Primary practice address
448 Lakeshore Pkwy Rock Hill SC 29730-4264
Phone: (803) 329-3177
Fax: (803) 329-3319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 102585 South Carolina

Profile Details

NPI number 1285170589
LBN Legal business name Davis, Jane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2017
Last updated Jan 10th, 2017 - about 8 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 1285170589 NPPES
South Carolina MEDICAID 1568476885

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