Davidson, Richard S
Davidson, Richard S is an individual health care provider with primary practice located at 237 26Th Street , Ogden UT 84401-3105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Davidson, Richard S can be contacted via phone (801) 625-3605.Contact Information
Primary practice address
237 26Th Street
Ogden UT 84401-3105
Phone: (801) 625-3605
Fax: (801) 625-3615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 1642288905 | Utah |
Profile Details
| NPI number | 1801820774 |
|---|---|
| LBN Legal business name | Davidson, Richard S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801820774 | NPPES |
| Utah | MEDICAID | 876000308007 |
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