Watkins, Marianne

Watkins, Marianne is an individual health care provider with primary practice located at 2518 E Dupont Rd , Fort Wayne IN 46825-1675. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Watkins, Marianne can be contacted via phone (260) 432-4400.

Contact Information

Primary practice address
2518 E Dupont Rd Fort Wayne IN 46825-1675
Fax: (260) 969-6898
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 01044115A Indiana

Profile Details

NPI number 1891785200
LBN Legal business name Watkins, Marianne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jan 31st, 2018 - about 8 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 1891785200 NPPES
Indiana Other 160050660 RAIL ROAD MEDICARE
Indiana MEDICAID 200047150 RAIL ROAD MEDICARE

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