Waters, Jeffrey A
Waters, Jeffrey A is an individual health care provider with primary practice located at 320 E Fontanero St Ste 100 , Colorado Springs CO 80907-7535. 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. Waters, Jeffrey A can be contacted via phone (719) 365-7420.Contact Information
Primary practice address
320 E Fontanero St Ste 100
Colorado Springs CO 80907-7535
Phone: (719) 365-7420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 909 | Colorado |
Profile Details
| NPI number | 1326010174 |
|---|---|
| LBN Legal business name | Waters, Jeffrey A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Aug 3rd, 2021 - about 3 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 | 1326010174 | NPPES |
| Colorado | MEDICAID | 61007765 |
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