Davidson, Andy
Davidson, Andy is an individual health care provider with primary practice located at 301 S Main St , Cave City AR 72521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davidson, Andy can be contacted via phone (870) 283-5353.Contact Information
Primary practice address
301 S Main St
Cave City AR 72521
Phone: (870) 283-5353
Fax: (870) 283-5988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C6213 | Arkansas |
Profile Details
| NPI number | 1396731550 |
|---|---|
| LBN Legal business name | Davidson, Andy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jun 15th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396731550 | NPPES |
| Arkansas | MEDICAID | 102771001 | |
| Arkansas | Other | 13297000000 |
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