Davidson, Sheldon Jerome
Davidson, Sheldon Jerome is an individual health care provider with primary practice located at 18300 Roscoe Blvd , Northridge CA 91325-4105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Davidson, Sheldon Jerome can be contacted via phone (818) 700-2336.Contact Information
Primary practice address
18300 Roscoe Blvd
Northridge CA 91325-4105
Phone: (818) 700-2336
Fax: (818) 700-2337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | G15884 | California |
Profile Details
| NPI number | 1457350738 |
|---|---|
| LBN Legal business name | Davidson, Sheldon Jerome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jun 8th, 2011 - about 14 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 | 1457350738 | NPPES |
| California | MEDICAID | 1902108293 | |
| California | MEDICAID | OOG158840 |
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