Davidson, David Allen

Davidson, David Allen is an sole proprietor health care provider with primary practice located at 476 Hospital Dr , Camden AR 71701-4616. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Davidson, David Allen can be contacted via phone (870) 800-9002.

Contact Information

Primary practice address
476 Hospital Dr Camden AR 71701-4616
Phone: (870) 800-9002
Fax: (870) 800-9004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-939 Arkansas

Profile Details

NPI number 1699382440
LBN Legal business name Davidson, David Allen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2020
Last updated Jul 3rd, 2024 - about last year

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 1699382440 NPPES
Arkansas MEDICAID 257653795

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