Watters, Matthew

Watters, Matthew is an individual health care provider with primary practice located at 24276 166Th Street Airport Road, Eagle Butte SD 57625. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Watters, Matthew can be contacted via phone (605) 964-0650.

Contact Information

Primary practice address
24276 166Th Street Airport Road Eagle Butte SD 57625
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.299068 Illinois

Profile Details

NPI number 1659743714
LBN Legal business name Watters, Matthew
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2015
Last updated Oct 28th, 2015 - about 11 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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