Watson, John Ward

Watson, John Ward is an individual health care provider with primary practice located at 305 W Jackson St Ste 206 , Carbondale IL 62901-1474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Watson, John Ward can be contacted via phone (618) 457-3006.

Contact Information

Primary practice address
305 W Jackson St Ste 206 Carbondale IL 62901-1474
Phone: (618) 457-3006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD071749L Pennsylvania
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036116328 Illinois

Profile Details

NPI number 1871596726
LBN Legal business name Watson, John Ward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871596726 NPPES
Illinois MEDICAID 0361167328

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