Waters, Patrick Timothy

Waters, Patrick Timothy is an sole proprietor health care provider with primary practice located at 2101 W Lehigh Ave Ste A , Philadelphia PA 19132-2664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Waters, Patrick Timothy can be contacted via phone (267) 866-7211.

Contact Information

Primary practice address
2101 W Lehigh Ave Ste A Philadelphia PA 19132-2664
Phone: (267) 866-7211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 0S003179L Pennsylvania

Profile Details

NPI number 1356302715
LBN Legal business name Waters, Patrick Timothy
Credentials D.O., F.A.A.F.P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Mar 17th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356302715 NPPES
Pennsylvania Other 85987 AETNA HMO ONLY
Pennsylvania Other 0058143000 AETNA HMO ONLY

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