Davis, Larry Warren

Davis, Larry Warren is an individual health care provider with primary practice located at 1255 N Oakland Blvd , Waterford MI 48327-1545. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Davis, Larry Warren can be contacted via phone (248) 599-8999.

Contact Information

Primary practice address
1255 N Oakland Blvd Waterford MI 48327-1545
Phone: (248) 599-8999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401013764 Michigan

Profile Details

NPI number 1831673946
LBN Legal business name Davis, Larry Warren
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2018
Last updated Jul 7th, 2026 - about 3 months 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 1831673946 NPPES
Michigan MEDICAID 6401013764

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