Waters, John M

Waters, John M is an individual health care provider with primary practice located at 327 1St Ave Nw , Hickory NC 28601-6122. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Waters, John M can be contacted via phone (828) 695-5900.

Contact Information

Primary practice address
327 1St Ave Nw Hickory NC 28601-6122
Phone: (828) 695-5900
Fax: (828) 695-4256
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003438 North Carolina

Profile Details

NPI number 1396874939
LBN Legal business name Waters, John M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Aug 4th, 2015 - about 10 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 1396874939 NPPES
North Carolina Other 83783 SENTRA
North Carolina Other 186608 SENTRA
North Carolina Other 128WU SENTRA
North Carolina Other 2069682 SENTRA
North Carolina MEDICAID 6003493 SENTRA

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