Waters, Patrick R

Waters, Patrick R is an individual health care provider with primary practice located at 2800 Hayes Ave Bldg D, Sandusky OH 44870-7252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Waters, Patrick R can be contacted via phone (419) 627-8771.

Contact Information

Primary practice address
2800 Hayes Ave Bldg D Sandusky OH 44870-7252
Phone: (419) 627-8771
Fax: (419) 627-0363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 35071687 Ohio

Profile Details

NPI number 1720084718
LBN Legal business name Waters, Patrick R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Oct 17th, 2007 - about 17 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 1720084718 NPPES
Ohio Other 000000204296 ANTHEM
Ohio Other 2592762 ANTHEM
Ohio Other 04073 ANTHEM
Ohio MEDICAID 2046119 ANTHEM

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