Davidson, Jake Daniel
Davidson, Jake Daniel is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Davidson, Jake Daniel can be contacted via phone (774) 443-7552.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (774) 443-7552
Fax: (774) 441-6086
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN2346578 | Massachusetts |
Profile Details
| NPI number | 1578269197 |
|---|---|
| LBN Legal business name | Davidson, Jake Daniel |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2023 |
| Last updated | Feb 14th, 2023 - about 3 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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