Davis, Zaide Andre

Davis, Zaide Andre is an sole proprietor health care provider with primary practice located at 1914 J N Pease Pl , Charlotte NC 28262-4504. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Davis, Zaide Andre can be contacted via phone (704) 287-0032.

Contact Information

Primary practice address
1914 J N Pease Pl Charlotte NC 28262-4504
Phone: (704) 287-0032
Fax: (704) 947-9785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C002871 North Carolina

Profile Details

NPI number 1598743338
LBN Legal business name Davis, Zaide Andre
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2006
Last updated Apr 18th, 2013 - about 13 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 1598743338 NPPES
North Carolina MEDICAID 6002551

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