Davison, Jonathan Merlin

Davison, Jonathan Merlin is an individual health care provider with primary practice located at Madigan Army Medical Center 9040 Jackson Ave , Tacoma WA 98431-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Davison, Jonathan Merlin can be contacted via phone (253) 968-1645.

Contact Information

Primary practice address
Madigan Army Medical Center 9040 Jackson Ave Tacoma WA 98431-1000
Phone: (253) 968-1645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01055856A Indiana
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 01055856A Indiana

Profile Details

NPI number 1376500579
LBN Legal business name Davison, Jonathan Merlin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Mar 14th, 2019 - about 5 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 1376500579 NPPES
Indiana Other 01055856A PHYSICIAN LICENSE

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