Davidson, Judi Carol
Davidson, Judi Carol is an sole proprietor health care provider with primary practice located at 2650 Broadview Ave , Wasilla AK 99654-8302. She recently has only one registered license in Other Service Providers / Midwife, Lay, which is considered as her primary health care specialty. Davidson, Judi Carol can be contacted via phone (907) 373-3420.Contact Information
Primary practice address
2650 Broadview Ave
Wasilla AK 99654-8302
Phone: (907) 373-3420
Fax: (907) 376-7847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife, Lay | 175M00000X | AA10 | Alaska |
Profile Details
| NPI number | 1962625855 |
|---|---|
| LBN Legal business name | Davidson, Judi Carol |
| Credentials | CDM, CPM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1962625855 | NPPES |
| Alaska | MEDICAID | NM0010 | |
| Alaska | Other | AA10 |
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