Watson, Demetruis Renee
Watson, Demetruis Renee is an individual health care provider with primary practice located at 1412 N Broadway Ste 204 , Lexington KY 40505-3157. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Watson, Demetruis Renee can be contacted via phone (859) 412-1445.Contact Information
Primary practice address
1412 N Broadway Ste 204
Lexington KY 40505-3157
Phone: (859) 412-1445
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P006989 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 258957 | Kentucky |
Profile Details
| NPI number | 1013252071 |
|---|---|
| LBN Legal business name | Watson, Demetruis Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2012 |
| Last updated | Jul 26th, 2024 - about 2 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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