Davidson, James Riley

Davidson, James Riley is an individual health care provider with primary practice located at 1000 S Main St , Tipton IN 46072-9753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Davidson, James Riley can be contacted via phone (765) 675-8391.

Contact Information

Primary practice address
1000 S Main St Tipton IN 46072-9753
Phone: (765) 675-8391
Fax: (765) 675-6704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12137 Montana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01054498A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M9214 Idaho

Profile Details

NPI number 1669419693
LBN Legal business name Davidson, James Riley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jan 27th, 2014 - about 12 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 1669419693 NPPES
Idaho MEDICAID 807143000
Idaho MEDICAID 200377830
Idaho Other 000000851775

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