Davis, Willie

Davis, Willie is an sole proprietor health care provider with primary practice located at 701 Duke Ave. , Hattiesbiurg MS 39401. He recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as his primary health care specialty. Davis, Willie can be contacted via phone (601) 550-1164.

Contact Information

Primary practice address
701 Duke Ave. Hattiesbiurg MS 39401
Phone: (601) 550-1164
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 1907 Illinois

Profile Details

NPI number 1558778936
LBN Legal business name Davis, Willie
Credentials RKT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2014
Last updated Jul 17th, 2014 - about 11 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 1558778936 NPPES
Illinois Other 1907 AMERICAN KINESIOTHERAPY ASSOCIATION

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