Davidson, Michael

Davidson, Michael is an individual health care provider with primary practice located at 1701 E 23Rd Ave Hutchinson Regional Medical Center, Hutchinson KS 67502-1105. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Davidson, Michael can be contacted via phone (620) 665-2198.

Contact Information

Primary practice address
1701 E 23Rd Ave Hutchinson Regional Medical Center Hutchinson KS 67502-1105
Phone: (620) 665-2198
Fax: (620) 665-2196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1500153 Kansas

Profile Details

NPI number 1417913849
LBN Legal business name Davidson, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 23rd, 2017 - about 7 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 1417913849 NPPES
Kansas MEDICAID 100273510B

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