Davidson, Jessica J

Davidson, Jessica J is an sole proprietor health care provider with primary practice located at 1515 Park Ave , Columbus WI 53925-1618. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Davidson, Jessica J can be contacted via phone (920) 623-1294.

Contact Information

Primary practice address
1515 Park Ave Columbus WI 53925-1618
Phone: (920) 623-1294
Fax: (920) 623-1250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2618 - 29 Wisconsin

Profile Details

NPI number 1386078368
LBN Legal business name Davidson, Jessica J
Credentials RD, CD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2013
Last updated Aug 27th, 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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