Davidson, Diana L
Davidson, Diana L is an individual health care provider with primary practice located at 911 Big Cove Road Picu, Huntsville AL 35801-3738. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Davidson, Diana L can be contacted via phone (256) 265-7791.Contact Information
Primary practice address
911 Big Cove Road Picu
Huntsville AL 35801-3738
Phone: (256) 265-7791
Fax: (256) 265-7767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 00012169 | Alabama |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 12169 | Alabama |
Profile Details
| NPI number | 1053352641 |
|---|---|
| LBN Legal business name | Davidson, Diana L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jan 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053352641 | NPPES |
| Alabama | MEDICAID | 009949800 | |
| Alabama | Other | 051098799 |
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