Waters, Sharon Johnson
Waters, Sharon Johnson is an individual health care provider with primary practice located at 3680 Warwick Rd , East New Market MD 21631-1420. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Waters, Sharon Johnson can be contacted via phone (410) 943-8108.Contact Information
Primary practice address
3680 Warwick Rd
East New Market MD 21631-1420
Phone: (410) 943-8108
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | SC1038 | Maryland |
Profile Details
| NPI number | 1366710725 |
|---|---|
| LBN Legal business name | Waters, Sharon Johnson |
| Credentials | CSC-AD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2011 |
| Last updated | Dec 13th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366710725 | NPPES |
| Maryland | MEDICAID | 631501100 |
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