Waterson, John Robert

Waterson, John Robert is an individual health care provider with primary practice located at 747 52Nd St Children'S Hospital & Research Center At Oakland, Oakland CA 94609-1809. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Waterson, John Robert can be contacted via phone (510) 428-3550.

Contact Information

Primary practice address
747 52Nd St Children'S Hospital & Research Center At Oakland Oakland CA 94609-1809
Phone: (510) 428-3550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X G85487 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G85487 California

Profile Details

NPI number 1578505467
LBN Legal business name Waterson, John Robert
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 20th, 2013 - about 13 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 1578505467 NPPES
California MEDICAID 00G85487

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