Davis, Jon

Davis, Jon is an sole proprietor health care provider with primary practice located at 202 W Park Ave , Champaign IL 61820-3929. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davis, Jon can be contacted via phone (217) 373-2430.

Contact Information

Primary practice address
202 W Park Ave Champaign IL 61820-3929
Phone: (217) 373-2430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1376605881
LBN Legal business name Davis, Jon
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers