Davidson, Paul C

Davidson, Paul C is an individual health care provider with primary practice located at 1250 E Marshall St Surgery, Richmond VA 23298-5051. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Davidson, Paul C can be contacted via phone (804) 828-7389.

Contact Information

Primary practice address
1250 E Marshall St Surgery Richmond VA 23298-5051
Phone: (804) 828-7389
Fax: (804) 828-0191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA119 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 1211 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110003207 Virginia

Profile Details

NPI number 1679564926
LBN Legal business name Davidson, Paul C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 15th, 2016 - about 8 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 1679564926 NPPES
Virginia Other 1679564926 HUMANA MEDICARE
Virginia MEDICAID 1679564926 HUMANA MEDICARE

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