Watson, Samuel Jacob

Watson, Samuel Jacob is an individual health care provider with primary practice located at 1640 Bryan Station Rd Ste 1 , Lexington KY 40505-2144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Watson, Samuel Jacob can be contacted via phone (859) 288-2425.

Contact Information

Primary practice address
1640 Bryan Station Rd Ste 1 Lexington KY 40505-2144
Phone: (859) 288-2425
Fax: (859) 721-3918
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 46559 Kentucky

Profile Details

NPI number 1881906022
LBN Legal business name Watson, Samuel Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2010
Last updated Mar 13th, 2023 - 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 1881906022 NPPES
Kentucky Other 108752 CERTIFICATION
Kentucky MEDICAID 7100253290 CERTIFICATION
Kentucky Other 46559 CERTIFICATION

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