Davis, Keith

Davis, Keith is an individual health care provider with primary practice located at 1735 Enterprise Dr , Fairfield CA 94533-6822. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Davis, Keith can be contacted via phone (707) 425-1799.

Contact Information

Primary practice address
1735 Enterprise Dr Fairfield CA 94533-6822
Phone: (707) 425-1799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1932649589
LBN Legal business name Davis, Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2017
Last updated Mar 1st, 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.

Request for update

Popular Providers