Davidson, Joel I.

Davidson, Joel I. is an sole proprietor health care provider with primary practice located at 1550 Tuscano Ct , Henderson NV 89052-4142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davidson, Joel I. can be contacted via phone (702) 736-1200.

Contact Information

Primary practice address
1550 Tuscano Ct Henderson NV 89052-4142
Fax: (702) 736-6538
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2431 Nevada

Profile Details

NPI number 1053535377
LBN Legal business name Davidson, Joel I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Aug 3rd, 2017 - about 9 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 1053535377 NPPES
Nevada MEDICAID 20-02097

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