Waterman, Steven Mark
Waterman, Steven Mark is an individual health care provider with primary practice located at 1400 George Dieter Dr Suite 270, El Paso TX 79936-7653. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Waterman, Steven Mark can be contacted via phone (915) 849-5114.Contact Information
Primary practice address
1400 George Dieter Dr Suite 270
El Paso TX 79936-7653
Phone: (915) 849-5114
Fax: (915) 849-5467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA02680 | Texas |
Profile Details
| NPI number | 1457318560 |
|---|---|
| LBN Legal business name | Waterman, Steven Mark |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Apr 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457318560 | NPPES |
| Texas | MEDICAID | 327528101 |
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