Davidson, Carl T
Davidson, Carl T is an sole proprietor health care provider with primary practice located at 1319 W 22Nd St , Odessa TX 79763-2406. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Ambulatory Health Care Facilities / Clinic/Center. Chiropractic Providers / Chiropractor is his primary health care specialty. Davidson, Carl T can be contacted via phone (432) 332-7882.Contact Information
Primary practice address
1319 W 22Nd St
Odessa TX 79763-2406
Phone: (432) 332-7882
Fax: (432) 332-2446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4220 | Texas |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 4220 | Texas |
Profile Details
| NPI number | 1477641785 |
|---|---|
| LBN Legal business name | Davidson, Carl T |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jan 9th, 2020 - about 6 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 | 1477641785 | NPPES |
| Texas | Other | 4364012 | AETNA |
| Texas | Other | 601581 | AETNA |
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