Waters, Michael Brandon

Waters, Michael Brandon is an individual health care provider with primary practice located at 247 Oak St Extension Suite 145, Forest City NC 28043-3585. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Waters, Michael Brandon can be contacted via phone (828) 245-5003.

Contact Information

Primary practice address
247 Oak St Extension Suite 145 Forest City NC 28043-3585
Phone: (828) 245-5003
Fax: (828) 245-5798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8208 North Carolina

Profile Details

NPI number 1912948084
LBN Legal business name Waters, Michael Brandon
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1912948084 NPPES
North Carolina Other 017PX BCBS

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