Davis, Mickia

Davis, Mickia is an sole proprietor health care provider with primary practice located at 1850 W Roosevelt Rd , Chicago IL 60608-1228. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Davis, Mickia can be contacted via phone (312) 666-1331.

Contact Information

Primary practice address
1850 W Roosevelt Rd Chicago IL 60608-1228
Phone: (312) 666-1331
Fax: (312) 506-0103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X Illinois

Profile Details

NPI number 1437363934
LBN Legal business name Davis, Mickia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
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.

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