Watson, George Michael
Watson, George Michael is an individual health care provider with primary practice located at 103 W Saint Clair St , Warren PA 16365-2197. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Watson, George Michael can be contacted via phone (814) 726-2020.Contact Information
Primary practice address
103 W Saint Clair St
Warren PA 16365-2197
Phone: (814) 726-2020
Fax: (814) 726-1215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 256582 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD439237 | Pennsylvania |
Profile Details
| NPI number | 1316275092 |
|---|---|
| LBN Legal business name | Watson, George Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2009 |
| Last updated | Dec 15th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316275092 | NPPES |
| Pennsylvania | MEDICAID | 1024743300001 | |
| Pennsylvania | MEDICAID | 03242257 |
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