Watson, Joseph

Watson, Joseph is an individual health care provider with primary practice located at 393 E 2Nd N , Rexburg ID 83440-1605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Watson, Joseph can be contacted via phone (208) 356-5401.

Contact Information

Primary practice address
393 E 2Nd N Rexburg ID 83440-1605
Phone: (208) 356-5401
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M9425 Idaho

Profile Details

NPI number 1336140664
LBN Legal business name Watson, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Apr 15th, 2020 - about 5 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 1336140664 NPPES
Idaho MEDICAID 807021700

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