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Contact Information

JUDI C DAVIDSON, CDM, CPM
2650 BROADVIEW AVE
WASILLA, AK99654-8302
 Phone: 907-373-3420
 Fax: 907-376-7847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Midwife, Lay

175M00000X
Indicates primary specialty

NPI Profile & details for JUDI C DAVIDSON · (Female)

NPI Number 1962625855
Status Active
Credentials CDM, CPM
Entity Individual
Enumeration date 04/10/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # AA10
  • AK Medicaid NM0010
  • AK Other AA10 STATE LICENSE NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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