Davidson, Paige

Davidson, Paige is an individual health care provider with primary practice located at 414 Sipapu St , Taos NM 87571-6498. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Davidson, Paige can be contacted via phone (575) 758-8761.

Contact Information

Primary practice address
414 Sipapu St Taos NM 87571-6498
Fax: (888) 492-8273
Website:

Profile Details

NPI number 1679674709
LBN Legal business name Davidson, Paige
Credentials P.T., D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Sep 13th, 2018 - about 6 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 1679674709 NPPES
New Mexico Other 5644211YUFC MEDICARE #
New Mexico MEDICAID 34402501 MEDICARE #

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