Waters, Linda Marie

Waters, Linda Marie is an sole proprietor health care provider with primary practice located at 1717 E Perkins Ave Suite #202, Sandusky OH 44870-7919. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Waters, Linda Marie can be contacted via phone (419) 357-3452.

Contact Information

Primary practice address
1717 E Perkins Ave Suite #202 Sandusky OH 44870-7919
Phone: (419) 357-3452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 981033 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X 0002689 Ohio

Profile Details

NPI number 1356663900
LBN Legal business name Waters, Linda Marie
Credentials PCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2010
Last updated May 30th, 2013 - about 12 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 1356663900 NPPES
Ohio Other 981033 OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD
Ohio Other 0002689 OHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD

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