Davidson, Robert R

Davidson, Robert R is an individual health care provider with primary practice located at 130 Fisher Rd , Berlin VT 05602-9516. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Davidson, Robert R can be contacted via phone (802) 225-7000.

Contact Information

Primary practice address
130 Fisher Rd Berlin VT 05602-9516
Phone: (802) 225-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 550030361 Vermont

Profile Details

NPI number 1083623912
LBN Legal business name Davidson, Robert R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083623912 NPPES
Vermont MEDICAID OAP0864

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