Davidson, Michael

Davidson, Michael is an sole proprietor health care provider with primary practice located at 1585 3Rd St , Fort Polk LA 71459-5102. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Davidson, Michael can be contacted via phone (337) 531-3517.

Contact Information

Primary practice address
1585 3Rd St Fort Polk LA 71459-5102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1041591

Profile Details

NPI number 1255480018
LBN Legal business name Davidson, Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated May 12th, 2021 - about 3 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.

Request for update

Popular Providers