Waters, John A

Waters, John A is an individual health care provider with primary practice located at 5055 W Bristol Rd , Flint MI 48507-2922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Waters, John A can be contacted via phone (810) 732-2272.

Contact Information

Primary practice address
5055 W Bristol Rd Flint MI 48507-2922
Fax: (810) 732-8470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 382908096 Michigan

Profile Details

NPI number 1396706925
LBN Legal business name Waters, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Aug 12th, 2010 - about 15 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 1396706925 NPPES
Michigan Other 180250173 BLUE CROSS BLUE SHIELD

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