Waterhouse, Michael Henry
Waterhouse, Michael Henry is an individual health care provider with primary practice located at 1300 Braden St , Jacksonville AR 72076-3719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Waterhouse, Michael Henry can be contacted via phone (501) 985-5900.Contact Information
Primary practice address
1300 Braden St
Jacksonville AR 72076-3719
Phone: (501) 985-5900
Fax: (501) 985-6016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E0632 | Arkansas |
Profile Details
| NPI number | 1649276221 |
|---|---|
| LBN Legal business name | Waterhouse, Michael Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Oct 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649276221 | NPPES |
| Arkansas | MEDICAID | 129243001 |
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