Davidson, Michael Benjamin

Davidson, Michael Benjamin is an individual health care provider with primary practice located at 10 Members Way Suite 400, Dover NH 03820-5933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Davidson, Michael Benjamin can be contacted via phone (603) 742-1143.

Contact Information

Primary practice address
10 Members Way Suite 400 Dover NH 03820-5933
Fax: (603) 749-3509
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 13393 New Hampshire

Profile Details

NPI number 1225109168
LBN Legal business name Davidson, Michael Benjamin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Feb 17th, 2014 - about 10 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 1225109168 NPPES
New Hampshire MEDICAID 3076450
New Hampshire MEDICAID 1225109168
New Hampshire Other P00775096

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