Davidson, Douglas Peter

Davidson, Douglas Peter is an individual health care provider with primary practice located at 50 Acacia Ave , San Rafael CA 94901-2230. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Davidson, Douglas Peter can be contacted via phone (951) 816-8970.

Contact Information

Primary practice address
50 Acacia Ave San Rafael CA 94901-2230
Phone: (951) 816-8970
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 62399 California

Profile Details

NPI number 1174294938
LBN Legal business name Davidson, Douglas Peter
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2021
Last updated Mar 7th, 2023 - about 2 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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