Davidson, Edwin M
Davidson, Edwin M is an individual health care provider with primary practice located at 1340 Broad Ave Suite 270, Gulfport MS 39501-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Davidson, Edwin M can be contacted via phone (228) 575-1234.Contact Information
Primary practice address
1340 Broad Ave Suite 270
Gulfport MS 39501-2404
Phone: (228) 575-1234
Fax: (228) 575-1240
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 08286 | Mississippi |
Profile Details
| NPI number | 1831175280 |
|---|---|
| LBN Legal business name | Davidson, Edwin M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Sep 20th, 2010 - about 14 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 | 1831175280 | NPPES |
| Mississippi | MEDICAID | 00010316 |
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