Davidson, Scott Michael

Davidson, Scott Michael is an individual health care provider with primary practice located at 44 E Spaulding Ave Ste 3 , Pueblo CO 81007-1668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davidson, Scott Michael can be contacted via phone (719) 281-1605.

Contact Information

Primary practice address
44 E Spaulding Ave Ste 3 Pueblo CO 81007-1668
Phone: (719) 281-1605
Fax: (719) 988-9677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24133 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44704 Colorado

Profile Details

NPI number 1518950955
LBN Legal business name Davidson, Scott Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jun 3rd, 2024 - about last year

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 1518950955 NPPES
Colorado Other 10910544 ROCKY MOUNTAIN HEALTH
Colorado MEDICAID 85077771 ROCKY MOUNTAIN HEALTH

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