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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457390742 NPPES
North Carolina MEDICAID 8905390
North Carolina MEDICAID 006095372
North Carolina Other 012791

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