Davis, Shawan

Davis, Shawan is an sole proprietor health care provider with primary practice located at 6700 Bowden Road Unit 1104 , Jacksonville FL 32216. She recently has 2 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Agencies / Day Training, Developmentally Disabled Services. Agencies / Day Training, Developmentally Disabled Services is her primary health care specialty. Davis, Shawan can be contacted via phone (904) 415-7665.

Contact Information

Primary practice address
6700 Bowden Road Unit 1104 Jacksonville FL 32216
Phone: (904) 415-7665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X Florida
Agencies / Day Training, Developmentally Disabled Services 251C00000X Florida

Profile Details

NPI number 1306590385
LBN Legal business name Davis, Shawan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2022
Last updated Feb 8th, 2022 - about 4 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 1306590385 NPPES
Florida MEDICAID 813927678

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