Watson, Justin J
Watson, Justin J is an individual health care provider with primary practice located at 2119 Regent St , Madison WI 53726-3941. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Watson, Justin J can be contacted via phone (360) 305-4988.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 73952 | Wisconsin |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MED-PHYS-LIC-127761 | Montana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 73952 | Wisconsin |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 127761 | Montana |
Profile Details
| NPI number | 1760748008 |
|---|---|
| LBN Legal business name | Watson, Justin J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2012 |
| Last updated | Nov 2nd, 2023 - about 3 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 | 1760748008 | NPPES |
| Wisconsin | MEDICAID | 100180924 |
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