Davidson, Charles S

Davidson, Charles S is an sole proprietor health care provider with primary practice located at 1930 Royal Dr , Conway AR 72034-7346. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Davidson, Charles S can be contacted via phone (501) 580-7670.

Contact Information

Primary practice address
1930 Royal Dr Conway AR 72034-7346
Phone: (501) 580-7670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT120 Arkansas

Profile Details

NPI number 1891985438
LBN Legal business name Davidson, Charles S
Credentials MED.,ATC.,CSCS.,CEAS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2007
Last updated Jul 30th, 2007 - about 19 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 1891985438 NPPES
Arkansas Other AT120 ARKANSAS STATE BOARD OF A

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