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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MARY J DAVIS
OVERTON BROOKS VA MEDICAL CENTER
510 E. STONER AVENUE
SHREVEPORT, LA71101-4295
 Phone: 318-221-8411
 Fax: 318-429-5721
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MARY J DAVIS · (Female)

NPI Number 1003023995
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 5639
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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