Davidson, Dirk C
Davidson, Dirk C is an sole proprietor health care provider with primary practice located at 33 W Adams St , Crossville TN 38555-4836. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davidson, Dirk C can be contacted via phone (931) 484-7596.Contact Information
Primary practice address
33 W Adams St
Crossville TN 38555-4836
Phone: (931) 484-7596
Fax: (931) 484-7597
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD21772 | Tennessee |
Profile Details
| NPI number | 1659369429 |
|---|---|
| LBN Legal business name | Davidson, Dirk C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Dec 28th, 2022 - about 3 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 | 1659369429 | NPPES |
| Tennessee | MEDICAID | 3890077 | |
| Tennessee | Other | P00102649 |
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