Maynard - Watts, Adelle Alexandria
Maynard - Watts, Adelle Alexandria is an sole proprietor health care provider with primary practice located at 1739 N 4Th St , Terre Haute IN 47804-4002. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Maynard - Watts, Adelle Alexandria can be contacted via phone (812) 242-1000.Contact Information
Primary practice address
1739 N 4Th St
Terre Haute IN 47804-4002
Phone: (812) 242-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 02004787A | Indiana |
Profile Details
| NPI number | 1881949576 |
|---|---|
| LBN Legal business name | Maynard - Watts, Adelle Alexandria |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2012 |
| Last updated | Oct 11th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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