Davis, Wellington Hervey

Davis, Wellington Hervey is an individual health care provider with primary practice located at 721 Buttenhoff Rd , Chippewa Falls WI 54729. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Davis, Wellington Hervey can be contacted via phone (715) 723-5426.

Contact Information

Primary practice address
721 Buttenhoff Rd Chippewa Falls WI 54729
Phone: (715) 723-5426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 65286030 Wisconsin

Profile Details

NPI number 1225296700
LBN Legal business name Davis, Wellington Hervey
Credentials RN WISCONSIN
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2008
Last updated May 30th, 2008 - 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 1225296700 NPPES
Wisconsin MEDICAID 35017200

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