1497827851 NPI number — MARY DAVIDSON MD

Table of content: MS. FATOU SILLAH (NPI 1033933031)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497827851 NPI number — MARY DAVIDSON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DAVIDSON
Provider First Name:
MARY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497827851
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/14/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8129
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KENTWOOD
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49518-8129
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
616-734-0335
Provider Business Mailing Address Fax Number:
616-949-8540

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1705 JACKSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77469-3246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
616-734-0335
Provider Business Practice Location Address Fax Number:
616-949-8540
Provider Enumeration Date:
11/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  J5153 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 138435613 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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