Davidson, Craig J
Davidson, Craig J is an individual health care provider with primary practice located at 1232 University Of Oregon , Eugene OR 97403-1232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Davidson, Craig J can be contacted via phone (541) 346-0565.Contact Information
Primary practice address
1232 University Of Oregon
Eugene OR 97403-1232
Phone: (541) 346-0565
Fax: (541) 346-2748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | M D28275 | Oregon |
Profile Details
| NPI number | 1063418838 |
|---|---|
| LBN Legal business name | Davidson, Craig J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Nov 21st, 2012 - about 13 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 | 1063418838 | NPPES |
| Oregon | MEDICAID | 279253 |
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