Davidson, Douglas W

Davidson, Douglas W is an individual health care provider with primary practice located at 12525 Perkins Road Suite B, Baton Rouge LA 70810. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Davidson, Douglas W can be contacted via phone (225) 819-8857.

Contact Information

Primary practice address
12525 Perkins Road Suite B Baton Rouge LA 70810
Phone: (225) 819-8857
Fax: (225) 767-6822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 010156 Louisiana

Profile Details

NPI number 1982790697
LBN Legal business name Davidson, Douglas W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Sep 3rd, 2009 - about 16 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 1982790697 NPPES
Louisiana Other P00392505 RRM
Louisiana MEDICAID 1098299 RRM

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