Watkins, Glen Lee
Watkins, Glen Lee is an sole proprietor health care provider with primary practice located at 1000 Chinaberry Dr Ste 1103 , Bossier City LA 71111-2463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Watkins, Glen Lee can be contacted via phone (318) 716-1111.Contact Information
Primary practice address
1000 Chinaberry Dr Ste 1103
Bossier City LA 71111-2463
Phone: (318) 716-1111
Fax: (318) 716-1112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME98502 | Florida |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 050489 | Georgia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 205062 | Louisiana |
Profile Details
| NPI number | 1124023874 |
|---|---|
| LBN Legal business name | Watkins, Glen Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2005 |
| Last updated | Dec 7th, 2020 - about 6 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 | 1124023874 | NPPES |
| Louisiana | MEDICAID | 21744801 |
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