Watts, Shannon K

Watts, Shannon K is an individual health care provider with primary practice located at 1340 Hal Greer Blvd , Huntington WV 25701-3804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Watts, Shannon K can be contacted via phone (304) 399-6727.

Contact Information

Primary practice address
1340 Hal Greer Blvd Huntington WV 25701-3804
Fax: (304) 399-6726
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 22286 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22286 West Virginia

Profile Details

NPI number 1184838906
LBN Legal business name Watts, Shannon K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Aug 24th, 2022 - 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 1184838906 NPPES
Kentucky MEDICAID 7100036310
Kentucky Other 3810011352
Kentucky MEDICAID 2795201
Kentucky MEDICAID 1184838906
Kentucky Other P00628003

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