Davis, Sally A

Davis, Sally A is an individual health care provider with primary practice located at 831 Clinton St Apt 13, Hoboken NJ 07030. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Davis, Sally A can be contacted via phone (201) 795-9223.

Contact Information

Primary practice address
831 Clinton St Apt 13 Hoboken NJ 07030
Phone: (201) 795-9223
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00080700 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 26NC05192400 New Jersey

Profile Details

NPI number 1538287842
LBN Legal business name Davis, Sally A
Credentials CNS AND LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538287842 NPPES
New Jersey MEDICAID 6913300

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