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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073502639 | NPPES |
Colorado | MEDICAID | 43280579 | |
Colorado | MEDICAID | 432394 | |
Colorado | MEDICAID | Q9896 |
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