Davis, Micheal

Davis, Micheal is an individual health care provider with primary practice located at 6047 Tyvola Glen Cir Ste 113 , Charlotte NC 28217-6431. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Davis, Micheal can be contacted via phone (803) 431-5044.

Contact Information

Primary practice address
6047 Tyvola Glen Cir Ste 113 Charlotte NC 28217-6431
Phone: (803) 431-5044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 2019-3729-01 North Carolina

Profile Details

NPI number 1215539788
LBN Legal business name Davis, Micheal
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2020
Last updated Sep 15th, 2021 - about 5 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.

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