Sico-Davis, Chrisandra Rey

Sico-Davis, Chrisandra Rey is an individual health care provider with primary practice located at 2509 North Queen St , Kinston NC 28502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sico-Davis, Chrisandra Rey can be contacted via phone (252) 522-0335.

Contact Information

Primary practice address
2509 North Queen St Kinston NC 28502
Phone: (252) 522-0335
Fax: (252) 522-4016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9701593 North Carolina

Profile Details

NPI number 1437133634
LBN Legal business name Sico-Davis, Chrisandra Rey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 19th, 2012 - about 14 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 1437133634 NPPES
North Carolina MEDICAID 89130KP
North Carolina Other 130KP

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