Davidson, Leo Warren

Davidson, Leo Warren is an sole proprietor health care provider with primary practice located at 1841 Quiet Cv , Fayetteville NC 28304-3985. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davidson, Leo Warren can be contacted via phone (910) 829-6588.

Contact Information

Primary practice address
1841 Quiet Cv Fayetteville NC 28304-3985
Phone: (910) 829-6588
Fax: (910) 829-6596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35312 North Carolina

Profile Details

NPI number 1235125618
LBN Legal business name Davidson, Leo Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Feb 18th, 2010 - about 15 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 1235125618 NPPES
North Carolina Other 020031637 MEDICARE RAIL ROAD
North Carolina Other 47806 MEDICARE RAIL ROAD
North Carolina Other 1738882 MEDICARE RAIL ROAD
North Carolina Other 27271 MEDICARE RAIL ROAD
North Carolina MEDICAID 8927271 MEDICARE RAIL ROAD

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