Watkin, Terry

Watkin, Terry is an individual health care provider with primary practice located at 12007 Sunrise Valley Dr Suite 120, Reston VA 20191-3479. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Watkin, Terry can be contacted via phone (301) 624-5730.

Contact Information

Primary practice address
12007 Sunrise Valley Dr Suite 120 Reston VA 20191-3479
Phone: (301) 624-5730
Fax: (301) 624-5731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 010104747 Virginia

Profile Details

NPI number 1043315369
LBN Legal business name Watkin, Terry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 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 1043315369 NPPES
District of Columbia Other 4571 0003 CF BC BS DC
District of Columbia MEDICAID 007110341 CF BC BS DC
District of Columbia Other 0500138 CF BC BS DC
District of Columbia Other 244468 CF BC BS DC
District of Columbia Other 283590 CF BC BS DC
District of Columbia Other 4053661 CF BC BS DC
District of Columbia Other 535088 02 CF BC BS DC
District of Columbia Other 85488 CF BC BS DC
District of Columbia Other 130018728 CF BC BS DC
District of Columbia Other 505096 CF BC BS DC

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