Davis, Juanita
Davis, Juanita is an sole proprietor health care provider with primary practice located at 3444 E Melody Dr , Phoenix AZ 85042-7265. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Davis, Juanita can be contacted via phone (602) 454-9440.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 10729 | Arizona |
Profile Details
| NPI number | 1053487330 |
|---|---|
| LBN Legal business name | Davis, Juanita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053487330 | NPPES |
| Arizona | Other | 112538 | AHCCCS ID NUMBER |
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