Waters, Marcus David

Waters, Marcus David is an individual health care provider with primary practice located at 10051 Lake Ave Ste 3 , Truckee CA 96161-4870. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Waters, Marcus David can be contacted via phone (530) 308-7784.

Contact Information

Primary practice address
10051 Lake Ave Ste 3 Truckee CA 96161-4870
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 32555 California

Profile Details

NPI number 1851633317
LBN Legal business name Waters, Marcus David
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2013
Last updated Mar 22nd, 2013 - about 11 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 1851633317 NPPES
California Other 32555 MEDICAL LICENSE

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