Davidson, Carrie
Davidson, Carrie is an individual health care provider with primary practice located at 35200 Bob Hope Dr , Rancho Mirage CA 92270-1748. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Davidson, Carrie can be contacted via phone (760) 328-8884.Contact Information
Primary practice address
35200 Bob Hope Dr
Rancho Mirage CA 92270-1748
Phone: (760) 328-8884
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | CA55091 | California |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | CA55091 | California |
Profile Details
NPI number | 1609389329 |
---|---|
LBN Legal business name | Davidson, Carrie |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2017 |
Last updated | Jul 29th, 2021 - about 3 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 | 1609389329 | NPPES |
California | Other | PA55091 | THE MEDICAL BOARD OF CALIFORNIA |
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