Davidson, Patrick Eugene
Davidson, Patrick Eugene is an sole proprietor health care provider with primary practice located at 18411-A Alderwood Mall Pkwy , Lynnwood WA 98037. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davidson, Patrick Eugene can be contacted via phone (425) 771-8472.Contact Information
Primary practice address
18411-A Alderwood Mall Pkwy
Lynnwood WA 98037
Phone: (425) 771-8472
Fax: (425) 672-8943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | WA3149 | Washington |
Profile Details
| NPI number | 1720068604 |
|---|---|
| LBN Legal business name | Davidson, Patrick Eugene |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jan 14th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720068604 | NPPES |
| Washington | MEDICAID | 2024552 |
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