Davis, Shenicak Kujuana

Davis, Shenicak Kujuana is an individual health care provider with primary practice located at 16434 Constance Ave , Detroit MI 48228-4311. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Attendant Care Provider is her primary health care specialty. Davis, Shenicak Kujuana can be contacted via phone (313) 455-2910.

Contact Information

Primary practice address
16434 Constance Ave Detroit MI 48228-4311
Phone: (313) 455-2910
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Michigan
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X Michigan

Profile Details

NPI number 1326549148
LBN Legal business name Davis, Shenicak Kujuana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2018
Last updated Feb 27th, 2018 - about 7 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 1326549148 NPPES
Michigan Other 824451938 MCPN'S
Michigan MEDICAID 82-4451938 MCPN'S
Michigan Other 824451938 MCPN'S
Michigan Other 82-4451938 MCPN'S
Michigan MEDICAID 844451938 MCPN'S

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