Davison, Jonathan Merlin
Davison, Jonathan Merlin is an individual health care provider with primary practice located at Madigan Army Medical Center 9040 Jackson Ave , Tacoma WA 98431-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Davison, Jonathan Merlin can be contacted via phone (253) 968-1645.Contact Information
Primary practice address
Madigan Army Medical Center 9040 Jackson Ave
Tacoma WA 98431-1000
Phone: (253) 968-1645
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01055856A | Indiana |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 01055856A | Indiana |
Profile Details
| NPI number | 1376500579 |
|---|---|
| LBN Legal business name | Davison, Jonathan Merlin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Mar 14th, 2019 - about 7 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 | 1376500579 | NPPES |
| Indiana | Other | 01055856A | PHYSICIAN LICENSE |
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