Watson, Brent E

Watson, Brent E is an individual health care provider with primary practice located at 200 Hospital Dr , Spencer WV 25276-1050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Watson, Brent E can be contacted via phone (304) 927-6822.

Contact Information

Primary practice address
200 Hospital Dr Spencer WV 25276-1050
Phone: (304) 927-6822
Fax: (304) 927-6807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20497 West Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20497 West Virginia

Profile Details

NPI number 1447212790
LBN Legal business name Watson, Brent E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Oct 27th, 2010 - about 16 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 1447212790 NPPES
West Virginia MEDICAID 1805978000
West Virginia Other 7339671

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