Watanabe, Thomas K.

Watanabe, Thomas K. is an individual health care provider with primary practice located at 60 Township Line Rd , Elkins Park PA 19027-2220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Watanabe, Thomas K. can be contacted via phone (215) 663-6677.

Contact Information

Primary practice address
60 Township Line Rd Elkins Park PA 19027-2220
Phone: (215) 663-6677
Fax: (215) 663-6265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35-065929 Ohio

Profile Details

NPI number 1972532349
LBN Legal business name Watanabe, Thomas K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Dec 8th, 2014 - about 11 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 1972532349 NPPES
Kentucky MEDICAID 64957608
Kentucky MEDICAID 0133117
Kentucky MEDICAID 200241860
Kentucky Other 000000012518

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