Waterer, Henry C

Waterer, Henry C is an individual health care provider with primary practice located at 501 Marshall St Ste 104, Jackson MS 39202-1651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Waterer, Henry C can be contacted via phone (601) 969-6404.

Contact Information

Primary practice address
501 Marshall St Ste 104 Jackson MS 39202-1651
Phone: (601) 969-6404
Fax: (601) 973-4541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 11093 Mississippi

Profile Details

NPI number 1326064601
LBN Legal business name Waterer, Henry C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Oct 23rd, 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 1326064601 NPPES
Mississippi MEDICAID 00117115

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