Waters, Johnny
Waters, Johnny is an individual health care provider with primary practice located at 7266 Buckley Rd , North Syracuse NY 13212-2649. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Waters, Johnny can be contacted via phone (315) 458-0919.Contact Information
Primary practice address
7266 Buckley Rd
North Syracuse NY 13212-2649
Phone: (315) 458-0919
Fax: (315) 458-0954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1568877785 |
|---|---|
| LBN Legal business name | Waters, Johnny |
| Credentials | MHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2014 |
| Last updated | Jun 26th, 2014 - 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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