Atwater, John G
Atwater, John G is an individual health care provider with primary practice located at 1260 37Th St Ste 102 , Vero Beach FL 32960-6567. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Atwater, John G can be contacted via phone (772) 213-9800.Contact Information
Primary practice address
1260 37Th St Ste 102
Vero Beach FL 32960-6567
Phone: (772) 213-9800
Fax: (772) 213-9810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 036100906 | Illinois |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036100906 | Illinois |
Profile Details
| NPI number | 1932115656 |
|---|---|
| LBN Legal business name | Atwater, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jun 11th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932115656 | NPPES |
| Illinois | MEDICAID | 036100906 | |
| Illinois | MEDICAID | 13031600 |
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