Davidson, Johnathan O'Neil

Davidson, Johnathan O'Neil is an individual health care provider with primary practice located at 200 Medical Center Dr , Hazard KY 41701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Davidson, Johnathan O'Neil can be contacted via phone (606) 439-6779.

Contact Information

Primary practice address
200 Medical Center Dr Hazard KY 41701
Phone: (606) 439-6779
Fax: (606) 487-8448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2393 Kentucky

Profile Details

NPI number 1295214047
LBN Legal business name Davidson, Johnathan O'Neil
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2018
Last updated Aug 4th, 2026 - about 2 months 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 1295214047 NPPES
Kentucky MEDICAID 7100551170

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