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Individual
DR. TIMOTHY A DAVIDSON
Active
Individual
DR. TIMOTHY A DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12143864
MULTIPLAN
IL
01
—
2115623
CAQH
IL
01
—
653965
ACN GROUP
IL
01
—
7643227
AETNA
IL
01
—
9932155
BC/BS
IL
01
—
P3297300
1ST HEALTH
IL
Enumeration date
05/10/2006
Last updated
07/08/2007
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