Waters, Thaddeus Patrick
Waters, Thaddeus Patrick is an individual health care provider with primary practice located at 1001 Main St , Buffalo NY 14203-1009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Waters, Thaddeus Patrick can be contacted via phone (716) 323-0615.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35089915 | Ohio |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 036131903 | Illinois |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 314132 | New York |
Profile Details
| NPI number | 1912102229 |
|---|---|
| LBN Legal business name | Waters, Thaddeus Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Nov 21st, 2022 - about 4 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 | 1912102229 | NPPES |
| Ohio | MEDICAID | 3068782 |
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