Shawanda A Davis, is a
Massage Therapist based in Long Branch, New Jersey. Shawanda A Davis is licensed to practice in New Jersey (license number 18KT00906300) and her current practice location is
103 7th Ave, Long Branch, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 889-6065.
NPI number for Shawanda A Davis is 1073128922 and her current mailing address is 103 7th Ave, Long Branch, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073128922.
Healthcare Provider's Profile
Full Name | Shawanda A Davis |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 103 7th Ave, Long Branch, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073128922
- Provider Enumeration Date: 09/08/2020
- Last Update Date: 09/08/2020
Medical Identifiers
Medical identifiers for Shawanda A Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073128922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 18KT00906300 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shawanda A Davis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shawanda A Davis, 103 7th Ave, Long Branch, NJ 07740-6935 Ph: (732) 889-6065 | Shawanda A Davis, 103 7th Ave, Long Branch, NJ 07740-6935 Ph: (732) 889-6065 |
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