Davidson, Jesse Thornhill
Davidson, Jesse Thornhill is an individual health care provider with primary practice located at 1234 Franklin Rd Sw , Roanoke VA 24016-4606. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davidson, Jesse Thornhill can be contacted via phone (540) 283-6071.Contact Information
Primary practice address
1234 Franklin Rd Sw
Roanoke VA 24016-4606
Phone: (540) 283-6071
Fax: (540) 283-6098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 0101034302 | Virginia |
Profile Details
| NPI number | 1801891791 |
|---|---|
| LBN Legal business name | Davidson, Jesse Thornhill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jan 22nd, 2014 - about 10 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 | 1801891791 | NPPES |
| Virginia | MEDICAID | 007311141 |
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