Davidson, Philip A
Davidson, Philip A is an individual health care provider with primary practice located at 2200 Park Ave Bldg D Ste 100, Park City UT 84060-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Davidson, Philip A can be contacted via phone (435) 615-8822.Contact Information
Primary practice address
2200 Park Ave Bldg D Ste 100
Park City UT 84060-7246
Phone: (435) 615-8822
Fax: (435) 615-8823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ME54865 | Florida |
Profile Details
| NPI number | 1528040367 |
|---|---|
| LBN Legal business name | Davidson, Philip A |
| Credentials | MEDICAL DOCTOR |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Oct 1st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528040367 | NPPES |
| Florida | Other | 2000016351 | RAILROAD MEDICARE |
| Florida | Other | 4511587 | RAILROAD MEDICARE |
| Florida | Other | AVMED | RAILROAD MEDICARE |
| Florida | Other | 18987 | RAILROAD MEDICARE |
| Florida | MEDICAID | 373524900 | RAILROAD MEDICARE |
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