Davidson, Scott B

Davidson, Scott B is an individual health care provider with primary practice located at 1105 Sixth St , Traverse City MI 49684-2345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davidson, Scott B can be contacted via phone (231) 935-7514.

Contact Information

Primary practice address
1105 Sixth St Traverse City MI 49684-2345
Phone: (231) 935-7514
Fax: (231) 392-0039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301056087 Michigan

Profile Details

NPI number 1811977424
LBN Legal business name Davidson, Scott B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Sep 27th, 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 1811977424 NPPES
Michigan Other CA2184 RAILROAD MEDICARE
Michigan MEDICAID 4575043 RAILROAD MEDICARE

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