Davidson, Jesse T

Davidson, Jesse T is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Div Surg Transplant, Saint Louis MO 63110-1003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Davidson, Jesse T can be contacted via phone (314) 747-9889.

Contact Information

Primary practice address
1 Barnes Jewish Hospital Plz Div Surg Transplant Saint Louis MO 63110-1003
Phone: (314) 747-9889
Fax: (314) 361-4197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2016008739 Missouri
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 036169278 Illinois

Profile Details

NPI number 1881009835
LBN Legal business name Davidson, Jesse T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2014
Last updated Sep 9th, 2024 - about 2 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 1881009835 NPPES
Missouri MEDICAID 200061155

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