Watson, Jan D
Watson, Jan D is an sole proprietor health care provider with primary practice located at 2030 W Baseline Rd Suite 182-235, Phoenix AZ 85041-6574. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Watson, Jan D can be contacted via phone (602) 957-2407.Contact Information
Primary practice address
2030 W Baseline Rd Suite 182-235
Phoenix AZ 85041-6574
Phone: (602) 957-2407
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 24951 | Arizona |
Profile Details
| NPI number | 1336104108 |
|---|---|
| LBN Legal business name | Watson, Jan D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Jun 19th, 2019 - about 7 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 | 1336104108 | NPPES |
| Other | 03-1881 | MEDICARE | |
| Other | Z148521 | MEDICARE | |
| MEDICAID | 279689 | MEDICARE | |
| Other | ZFQ31815 | MEDICARE |
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