Waters, C Cleve

Waters, C Cleve is an sole proprietor health care provider with primary practice located at 1755 Gunbarrel Rd Suite 200, Chattanooga TN 37421-7137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Waters, C Cleve can be contacted via phone (423) 855-4044.

Contact Information

Primary practice address
1755 Gunbarrel Rd Suite 200 Chattanooga TN 37421-7137
Fax: (423) 855-4105
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0000011727 Tennessee

Profile Details

NPI number 1801869243
LBN Legal business name Waters, C Cleve
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Jun 5th, 2013 - 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 1801869243 NPPES
Tennessee Other 4135663 BCBST
Tennessee MEDICAID 000223759B BCBST
Tennessee Other 0004216249 BCBST
Tennessee Other 1727929 BCBST

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