Waterman, Deborah

Waterman, Deborah is an individual health care provider with primary practice located at 210 S Main St Suite A, Middletown CT 06457-3764. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Waterman, Deborah can be contacted via phone (860) 638-4671.

Contact Information

Primary practice address
210 S Main St Suite A Middletown CT 06457-3764
Phone: (860) 638-4671
Fax: (860) 638-4673
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000735 Connecticut
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 000735 Connecticut

Profile Details

NPI number 1619925211
LBN Legal business name Waterman, Deborah
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 7th, 2012 - about 12 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 1619925211 NPPES
Connecticut Other C03117 MEDICARE ID

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