Waters, Deborah U

Waters, Deborah U is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Waters, Deborah U can be contacted via phone (505) 368-6300.

Contact Information

Primary practice address
Us Hwy 491 North Shiprock NM 87420
Phone: (505) 368-6300
Fax: (505) 368-6324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X G2241 Texas
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X G2241 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X MD039557E Pennsylvania

Profile Details

NPI number 1073502639
LBN Legal business name Waters, Deborah U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Dec 26th, 2007 - about 17 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 1073502639 NPPES
Colorado MEDICAID 43280579
Colorado MEDICAID 432394
Colorado MEDICAID Q9896

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