Colclough, George Watts

Colclough, George Watts is an individual health care provider with primary practice located at 800 Rose St , Lexington KY 40536-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Colclough, George Watts can be contacted via phone (859) 323-5956.

Contact Information

Primary practice address
800 Rose St Lexington KY 40536-0001
Phone: (859) 323-5956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 19970 Kentucky
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 19970 Kentucky

Profile Details

NPI number 1720179336
LBN Legal business name Colclough, George Watts
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Feb 22nd, 2008 - about 16 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 1720179336 NPPES
Kentucky MEDICAID 641997060

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