Watson, Jerome Thomas

Watson, Jerome Thomas is an individual health care provider with primary practice located at 293 Old Mocksville Road , Statesville NC 28625-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Watson, Jerome Thomas can be contacted via phone (704) 872-8711.

Contact Information

Primary practice address
293 Old Mocksville Road Statesville NC 28625-1903
Phone: (704) 872-8711
Fax: (704) 872-5866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 9800413 North Carolina

Profile Details

NPI number 1336144138
LBN Legal business name Watson, Jerome Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jan 4th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336144138 NPPES
North Carolina MEDICAID 891129M
North Carolina Other 498003002

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