Davidson, Amanda Jeanne

Davidson, Amanda Jeanne is an sole proprietor health care provider with primary practice located at 23 Duncan St , Gloucester MA 01930-6001. She recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as her primary health care specialty. Davidson, Amanda Jeanne can be contacted via phone (781) 990-9090.

Contact Information

Primary practice address
23 Duncan St Gloucester MA 01930-6001
Phone: (781) 990-9090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X

Profile Details

NPI number 1013479708
LBN Legal business name Davidson, Amanda Jeanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2019
Last updated Apr 2nd, 2019 - about 6 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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