Davidson, Gregory Steven

Davidson, Gregory Steven is an individual health care provider with primary practice located at 895 Middle Ground Blvd Suite 152, Newport News VA 23606-4250. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Davidson, Gregory Steven can be contacted via phone (757) 599-5505.

Contact Information

Primary practice address
895 Middle Ground Blvd Suite 152 Newport News VA 23606-4250
Phone: (757) 599-5505
Fax: (757) 599-3618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001809 Virginia

Profile Details

NPI number 1619934023
LBN Legal business name Davidson, Gregory Steven
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Oct 4th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619934023 NPPES
Virginia MEDICAID 1619934023

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