Provider Demographics
NPI:1568188548
Name:DAVISON, DASHAWN EMIR
Entity Type:Individual
Prefix:
First Name:DASHAWN
Middle Name:EMIR
Last Name:DAVISON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-1547
Mailing Address - Country:US
Mailing Address - Phone:330-400-8622
Mailing Address - Fax:
Practice Address - Street 1:735 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-1547
Practice Address - Country:US
Practice Address - Phone:330-400-8622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7611014374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide