Davidson, David Alan

Davidson, David Alan is an sole proprietor health care provider with primary practice located at 222 15Th Ave Se , Puyallup WA 98372-3754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Davidson, David Alan can be contacted via phone (253) 841-4353.

Contact Information

Primary practice address
222 15Th Ave Se Puyallup WA 98372-3754
Phone: (253) 841-4353
Fax: (253) 581-5698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00035868 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 043916 Georgia

Profile Details

NPI number 1710941612
LBN Legal business name Davidson, David Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2006
Last updated Nov 15th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710941612 NPPES
Washington Other 0160571 L&I
Washington MEDICAID 8348757 L&I

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