Davis, Shana Richelle Sarah

Davis, Shana Richelle Sarah is an sole proprietor health care provider with primary practice located at 7408 Montana Ave , Hammond IN 46323-2921. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Davis, Shana Richelle Sarah can be contacted via phone (708) 674-8339.

Contact Information

Primary practice address
7408 Montana Ave Hammond IN 46323-2921
Phone: (708) 674-8339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1427593664
LBN Legal business name Davis, Shana Richelle Sarah
Credentials Clinical Dietitian (CD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2016
Last updated Jun 9th, 2023 - about 3 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 1427593664 NPPES
Illinois MEDICAID 1427593664

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