Davidson, William R.

Davidson, William R. is an sole proprietor health care provider with primary practice located at 2421 Heilmandale Rd , Jonestown PA 17038-8307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Davidson, William R. can be contacted via phone (717) 867-2492.

Contact Information

Primary practice address
2421 Heilmandale Rd Jonestown PA 17038-8307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD020565E Pennsylvania

Profile Details

NPI number 1871570952
LBN Legal business name Davidson, William R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Jun 10th, 2010 - about 15 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 1871570952 NPPES
Pennsylvania MEDICAID 0006699000005

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