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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285170589 | NPPES |
| South Carolina | MEDICAID | 1568476885 |
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