Watson, Bryan Lee

Watson, Bryan Lee is an individual health care provider with primary practice located at 323 Cloverleaf Sq #1, Big Stone Gap VA 24219-2760. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Watson, Bryan Lee can be contacted via phone (276) 523-6715.

Contact Information

Primary practice address
323 Cloverleaf Sq #1 Big Stone Gap VA 24219-2760
Phone: (276) 523-6715
Fax: (276) 523-6719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0116021762 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0102202658 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 03406 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102202658 Virginia

Profile Details

NPI number 1508097015
LBN Legal business name Watson, Bryan Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2009
Last updated Sep 20th, 2012 - about 13 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 1508097015 NPPES
Tennessee MEDICAID 1522495
Tennessee MEDICAID 1508097015
Tennessee MEDICAID 7100137290
Tennessee MEDICAID 7617286

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