Watson, Jacquelyn R

Watson, Jacquelyn R is an individual health care provider with primary practice located at 200 N Park St West Michigan Cancer Center, Kalamazoo MI 49007-3731. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Watson, Jacquelyn R can be contacted via phone (269) 373-7474.

Contact Information

Primary practice address
200 N Park St West Michigan Cancer Center Kalamazoo MI 49007-3731
Phone: (269) 373-7474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 404424 Michigan

Profile Details

NPI number 1801881065
LBN Legal business name Watson, Jacquelyn R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Sep 21st, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801881065 NPPES
Michigan Other 0C96059 BCBSM
Michigan MEDICAID 292222010 BCBSM
Michigan MEDICAID 1801881065 BCBSM

Popular Providers