Davidson, Douglas Joel

Davidson, Douglas Joel is an sole proprietor health care provider with primary practice located at 512 S Main St , Moscow ID 83843-2918. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Davidson, Douglas Joel can be contacted via phone (208) 883-3000.

Contact Information

Primary practice address
512 S Main St Moscow ID 83843-2918
Phone: (208) 883-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X DO00000689 Washington

Profile Details

NPI number 1770672842
LBN Legal business name Davidson, Douglas Joel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Nov 29th, 2007 - about 18 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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