Watson, Alex Benton

Watson, Alex Benton is an individual health care provider with primary practice located at 2315 8Th St , Lewiston ID 83501-7301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Watson, Alex Benton can be contacted via phone (208) 746-1383.

Contact Information

Primary practice address
2315 8Th St Lewiston ID 83501-7301
Phone: (208) 746-1383
Fax: (208) 746-6348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2003025568 Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD60171764 Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M-11086 Idaho

Profile Details

NPI number 1780659920
LBN Legal business name Watson, Alex Benton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Mar 7th, 2016 - about 10 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 1780659920 NPPES
Illinois Other P00884051 RR MEDICARE
Illinois Other 78464 RR MEDICARE
Illinois MEDICAID 1780659920 RR MEDICARE
Illinois Other 1780659920 RR MEDICARE
Illinois MEDICAID 2009820 RR MEDICARE
Illinois Other 0267798 RR MEDICARE

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