Waters, Steven M

Waters, Steven M is an sole proprietor health care provider with primary practice located at 1913 Chester Blvd , Richmond IN 47374-1212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Waters, Steven M can be contacted via phone (765) 965-1977.

Contact Information

Primary practice address
1913 Chester Blvd Richmond IN 47374-1212
Fax: (765) 965-1311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 01033831 Indiana

Profile Details

NPI number 1376553099
LBN Legal business name Waters, Steven M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 19 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 1376553099 NPPES
Indiana MEDICAID 100352860

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