Davidson, Kenneth H

Davidson, Kenneth H is an sole proprietor health care provider with primary practice located at 1415 Portland Ave Suite 350, Rochester NY 14621-3038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Davidson, Kenneth H can be contacted via phone (585) 426-9278.

Contact Information

Primary practice address
1415 Portland Ave Suite 350 Rochester NY 14621-3038
Phone: (585) 426-9278
Fax: (585) 338-2738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 103663 New York

Profile Details

NPI number 1871565861
LBN Legal business name Davidson, Kenneth H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2006
Last updated Oct 9th, 2013 - about 11 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 1871565861 NPPES
Other 005002871 BLUE SHIELD WESTERN NY
Other P010103663 BLUE SHIELD WESTERN NY
Other 07341 BLUE SHIELD WESTERN NY
Other 10453 BLUE SHIELD WESTERN NY
Other 9913 BLUE SHIELD WESTERN NY
Other Y019296 BLUE SHIELD WESTERN NY
MEDICAID 00450853 BLUE SHIELD WESTERN NY
Other MD4426 BLUE SHIELD WESTERN NY
Other 005002871 BLUE SHIELD WESTERN NY

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