Watanabe, Alan J

Watanabe, Alan J is an individual health care provider with primary practice located at 4050 Central Avenue , Columbus IN 47203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Watanabe, Alan J can be contacted via phone (812) 376-9427.

Contact Information

Primary practice address
4050 Central Avenue Columbus IN 47203
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01032855 Indiana

Profile Details

NPI number 1518961507
LBN Legal business name Watanabe, Alan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Mar 29th, 2024 - about 8 months 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 1518961507 NPPES
Indiana Other 000000991459 ANTHEM PIN
Indiana MEDICAID 100342750 ANTHEM PIN

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