Davidson, Elaine M.
Davidson, Elaine M. is an individual health care provider with primary practice located at 2840 S Meridian Rd , Meridian ID 83642-7960. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davidson, Elaine M. can be contacted via phone (208) 593-6393.Contact Information
Primary practice address
2840 S Meridian Rd
Meridian ID 83642-7960
Phone: (208) 593-6393
Fax: (208) 593-6402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M5546 | Idaho |
Profile Details
| NPI number | 1093705022 |
|---|---|
| LBN Legal business name | Davidson, Elaine M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | May 15th, 2024 - about last year |
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 | 1093705022 | NPPES |
| Idaho | Other | 000010150633 | BLUE SHIELD |
| Idaho | Other | 74526 | BLUE SHIELD |
| Idaho | MEDICAID | 003656100 | BLUE SHIELD |
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