Davisson, John Lawrence

Davisson, John Lawrence is an individual health care provider with primary practice located at 1000 N 16Th St , New Castle IN 47362-4319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davisson, John Lawrence can be contacted via phone (765) 521-0890.

Contact Information

Primary practice address
1000 N 16Th St New Castle IN 47362-4319
Phone: (765) 521-0890
Fax: (765) 521-1555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48216 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01077390A Indiana

Profile Details

NPI number 1194085902
LBN Legal business name Davisson, John Lawrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2012
Last updated Sep 9th, 2020 - about 4 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 1194085902 NPPES
Indiana MEDICAID 201377670
Indiana Other P01723965

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