Davidson, Dan Berry
Davidson, Dan Berry is an individual health care provider with primary practice located at 1888 Hudson Cir Ste 2, Monroe LA 71201-3546. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Davidson, Dan Berry can be contacted via phone (318) 387-3453.Contact Information
Primary practice address
1888 Hudson Cir Ste 2
Monroe LA 71201-3546
Phone: (318) 387-3453
Fax: (318) 323-9045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 07372R | Louisiana |
Profile Details
| NPI number | 1598794828 |
|---|---|
| LBN Legal business name | Davidson, Dan Berry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Apr 12th, 2016 - about 8 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 | 1598794828 | NPPES |
| Arkansas | MEDICAID | 117091001 | |
| Arkansas | MEDICAID | 1397083 | |
| Arkansas | Other | 300134864 |
Popular Providers
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Wilder, W Mitchell
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Barnidge, Michael
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Braud, John A
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Worley Ii, Emery Edward
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Davis, John Allen
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Barraza, John Michael
1888 Hudson Cir Ste 2, Monroe LA 71201-3546