Davidson, Eric N
Davidson, Eric N is an sole proprietor health care provider with primary practice located at 125 Executive Dr Suite H, Danville VA 24541-4155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davidson, Eric N can be contacted via phone (434) 791-1345.Contact Information
Primary practice address
125 Executive Dr Suite H
Danville VA 24541-4155
Phone: (434) 791-1345
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101030796 | Virginia |
Profile Details
| NPI number | 1457390742 |
|---|---|
| LBN Legal business name | Davidson, Eric N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jun 10th, 2010 - about 15 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 | 1457390742 | NPPES |
| North Carolina | MEDICAID | 8905390 | |
| North Carolina | MEDICAID | 006095372 | |
| North Carolina | Other | 012791 |
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