Davidson, Amy Noble

Davidson, Amy Noble is an individual health care provider with primary practice located at 1450 Columbus Ave Ste 103 , Washington Court House OH 43160-3701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Davidson, Amy Noble can be contacted via phone (740) 333-2243.

Contact Information

Primary practice address
1450 Columbus Ave Ste 103 Washington Court House OH 43160-3701
Phone: (740) 333-2243
Fax: (740) 333-2248
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1104179183
LBN Legal business name Davidson, Amy Noble
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2012
Last updated Jul 14th, 2020 - about 4 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 1104179183 NPPES
Ohio MEDICAID 0077380

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