Davidson, Carl T

Davidson, Carl T is an sole proprietor health care provider with primary practice located at 1319 W 22Nd St , Odessa TX 79763-2406. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Ambulatory Health Care Facilities / Clinic/Center. Chiropractic Providers / Chiropractor is his primary health care specialty. Davidson, Carl T can be contacted via phone (432) 332-7882.

Contact Information

Primary practice address
1319 W 22Nd St Odessa TX 79763-2406
Phone: (432) 332-7882
Fax: (432) 332-2446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4220 Texas
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 4220 Texas

Profile Details

NPI number 1477641785
LBN Legal business name Davidson, Carl T
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Jan 9th, 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 1477641785 NPPES
Texas Other 4364012 AETNA
Texas Other 601581 AETNA

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