Davidson, Larry Steve

Davidson, Larry Steve is an individual health care provider with primary practice located at 109 Montgomery Dr , Anderson SC 29621-3333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Davidson, Larry Steve can be contacted via phone (864) 224-5700.

Contact Information

Primary practice address
109 Montgomery Dr Anderson SC 29621-3333
Phone: (864) 224-5700
Fax: (864) 226-0680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 9400460 North Carolina
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD16408 South Carolina

Profile Details

NPI number 1154381465
LBN Legal business name Davidson, Larry Steve
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Apr 19th, 2016 - about 10 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 1154381465 NPPES
Other P00404250 RAILROAD MEDICARE
Other P01616429 RAILROAD MEDICARE
MEDICAID 891273N RAILROAD MEDICARE
MEDICAID N00460 RAILROAD MEDICARE

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