Davidson, Robert Cullen

Davidson, Robert Cullen is an individual health care provider with primary practice located at 2900 Bradford St Ne , Grand Rapids MI 49525-6427. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Davidson, Robert Cullen can be contacted via phone (616) 885-5000.

Contact Information

Primary practice address
2900 Bradford St Ne Grand Rapids MI 49525-6427
Phone: (616) 885-5000
Fax: (616) 885-5020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301034558 Michigan

Profile Details

NPI number 1184607806
LBN Legal business name Davidson, Robert Cullen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Mar 19th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184607806 NPPES
Michigan MEDICAID 4709460
Michigan Other 060053856

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