Dr Theodore Davidson Iii, DC | |
1140 Connecticut Ave Nw, Ste 500, Washington, DC 20036-4001 | |
(202) 828-8303 | |
(202) 828-8305 |
Full Name | Dr Theodore Davidson Iii |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 1140 Connecticut Ave Nw, Washington, District Of Columbia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114458171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH030176 (District Of Columbia) | Primary |
Provider Name | 100 Chiro Livingood Louetta Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225783970 PECOS PAC ID: 4385024066 Enrollment ID: O20220712002608 |
Mailing Address | Practice Location Address |
---|---|
Dr Theodore Davidson Iii, DC 1140 Connecticut Ave Nw, Ste 500, Washington, DC 20036-4001 Ph: (202) 828-8303 | Dr Theodore Davidson Iii, DC 1140 Connecticut Ave Nw, Ste 500, Washington, DC 20036-4001 Ph: (202) 828-8303 |
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