Mcwatters, Jack W

Mcwatters, Jack W is an individual health care provider with primary practice located at 11085 Little Patuxent Pkwy Suite 101, Columbia MD 21044-2983. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mcwatters, Jack W can be contacted via phone (410) 997-7979.

Contact Information

Primary practice address
11085 Little Patuxent Pkwy Suite 101 Columbia MD 21044-2983
Phone: (410) 997-7979
Fax: (410) 997-9231
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D27237 Maryland

Profile Details

NPI number 1083681118
LBN Legal business name Mcwatters, Jack W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jan 22nd, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083681118 NPPES
Maryland Other 0005 CAREFIRST BCBS PPO,SPP,BC
Maryland Other 04071 CAREFIRST BCBS PPO,SPP,BC
Maryland Other 21750 CAREFIRST BCBS PPO,SPP,BC
Maryland MEDICAID 403161000 CAREFIRST BCBS PPO,SPP,BC
Maryland Other 0481422 CAREFIRST BCBS PPO,SPP,BC
Maryland Other 2500675 CAREFIRST BCBS PPO,SPP,BC
Maryland Other 225079 CAREFIRST BCBS PPO,SPP,BC
Maryland Other 35016302 CAREFIRST BCBS PPO,SPP,BC
Maryland Other 4105495 CAREFIRST BCBS PPO,SPP,BC

Popular Providers