Davis, Willie Anthoney

Davis, Willie Anthoney is an sole proprietor health care provider with primary practice located at 23430 Calistoga Pl , Ramona CA 92065-4309. He recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as his primary health care specialty. Davis, Willie Anthoney can be contacted via phone (209) 769-5243.

Contact Information

Primary practice address
23430 Calistoga Pl Ramona CA 92065-4309
Phone: (209) 769-5243
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1265121750
LBN Legal business name Davis, Willie Anthoney
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2023
Last updated May 2nd, 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 1265121750 NPPES
California Other D3692300 DRIVER LICENSE

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