Watson, Thomas Jack

Watson, Thomas Jack is an individual health care provider with primary practice located at 3577 W 13 Mile Rd Ste 202A , Royal Oak MI 48073-6710. 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, Thomas Jack can be contacted via phone (248) 551-0669.

Contact Information

Primary practice address
3577 W 13 Mile Rd Ste 202A Royal Oak MI 48073-6710
Phone: (248) 551-0669
Fax: (248) 551-0058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 204470 New York

Profile Details

NPI number 1326076209
LBN Legal business name Watson, Thomas Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated May 20th, 2021 - 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 1326076209 NPPES
New York MEDICAID 01687549

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