Davidson, Michael James

Davidson, Michael James is an individual health care provider with primary practice located at 11406 Loma Linda Dr , Loma Linda CA 92354-3711. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Davidson, Michael James can be contacted via phone (909) 558-4000.

Contact Information

Primary practice address
11406 Loma Linda Dr Loma Linda CA 92354-3711
Phone: (909) 558-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CPO1263 California

Profile Details

NPI number 1114162732
LBN Legal business name Davidson, Michael James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2008
Last updated Dec 10th, 2008 - about 17 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 1114162732 NPPES
California MEDICAID XC0012630

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