Davidson, John Thomas
Davidson, John Thomas is an individual health care provider with primary practice located at 1300 36Th St Ste 1H, Vero Beach FL 32960-4898. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davidson, John Thomas can be contacted via phone (772) 563-0146.Contact Information
Primary practice address
1300 36Th St Ste 1H
Vero Beach FL 32960-4898
Phone: (772) 563-0146
Fax: (772) 770-5817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1265434500 |
|---|---|
| LBN Legal business name | Davidson, John Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1265434500 | NPPES |
| Florida | MEDICAID | 044564900 |
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