Watterworth, Carolyn C

Watterworth, Carolyn C is an individual health care provider with primary practice located at 1141 N Monroe Dr , Xenia OH 45385. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Watterworth, Carolyn C can be contacted via phone (937) 372-8011.

Contact Information

Primary practice address
1141 N Monroe Dr Xenia OH 45385
Phone: (937) 372-8011
Fax: (937) 376-6983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN161162 Ohio

Profile Details

NPI number 1740251446
LBN Legal business name Watterworth, Carolyn C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1740251446 NPPES
Ohio Other P00281504 RAILROAD MEDICARE
Ohio Other 000000381924 RAILROAD MEDICARE
Ohio MEDICAID 0806980 RAILROAD MEDICARE

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