Waters, Debra Kay

Waters, Debra Kay is an individual health care provider with primary practice located at Black Coal Rd. Bldg. 29 , Ft. Washakie WY 82514. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Laboratory, which is considered as her primary health care specialty. Waters, Debra Kay can be contacted via phone (307) 332-7672.

Contact Information

Primary practice address
Black Coal Rd. Bldg. 29 Ft. Washakie WY 82514
Phone: (307) 332-7672
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Laboratory 246RM2200X 21259 Tennessee

Profile Details

NPI number 1285950170
LBN Legal business name Waters, Debra Kay
Credentials MLT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2010
Last updated Apr 16th, 2010 - about 14 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 1285950170 NPPES
Tennessee Other 04121413 ASCP

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