Davidson, Nathan E.

Davidson, Nathan E. is an individual health care provider with primary practice located at 670 Humboldt Drive , Big Lake MN 55309. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Davidson, Nathan E. can be contacted via phone (763) 263-8433.

Contact Information

Primary practice address
670 Humboldt Drive Big Lake MN 55309
Phone: (763) 263-8433
Fax: (763) 263-2963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3099 Minnesota

Profile Details

NPI number 1760548085
LBN Legal business name Davidson, Nathan E.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - 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 1760548085 NPPES
Minnesota Other 53159888 WAUSAU
Minnesota Other 53159888 WAUSAU
Minnesota Other 59B57N0 WAUSAU

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