Watson, Jeane Palmer
Watson, Jeane Palmer is an sole proprietor health care provider with primary practice located at 6900 N Pecos Rd , North Las Vegas NV 89086-4400. She recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is her primary health care specialty. Watson, Jeane Palmer can be contacted via phone (702) 791-9168.Contact Information
Primary practice address
6900 N Pecos Rd
North Las Vegas NV 89086-4400
Phone: (702) 791-9168
Fax: (702) 791-9242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 601 | South Carolina |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD001066 | Georgia |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 601 | South Carolina |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD001066 | Georgia |
Profile Details
| NPI number | 1659546083 |
|---|---|
| LBN Legal business name | Watson, Jeane Palmer |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2008 |
| Last updated | Jul 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659546083 | NPPES |
| Georgia | Other | 511I480052 | INDIVIDUAL MEDICARE PTAN |
| Georgia | Other | AA39819277 | INDIVIDUAL MEDICARE PTAN |
| Georgia | MEDICAID | 355230972A | INDIVIDUAL MEDICARE PTAN |
| Georgia | Other | P00884480 | INDIVIDUAL MEDICARE PTAN |
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