Davidian, James Lowell

Davidian, James Lowell is an individual health care provider with primary practice located at 1226 Ne 7Th St , Grants Pass OR 97526-1424. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Davidian, James Lowell can be contacted via phone (541) 476-6636.

Contact Information

Primary practice address
1226 Ne 7Th St Grants Pass OR 97526-1424
Phone: (541) 476-6636
Fax: (541) 476-6690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G20649 California

Profile Details

NPI number 1912071036
LBN Legal business name Davidian, James Lowell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated May 25th, 2012 - about 12 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 1912071036 NPPES
California MEDICAID GR0053850

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