Waterson, David C

Waterson, David C is an individual health care provider with primary practice located at 315 Turwill Ln , Kalamazoo MI 49006-4231. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Waterson, David C can be contacted via phone (269) 343-8170.

Contact Information

Primary practice address
315 Turwill Ln Kalamazoo MI 49006-4231
Phone: (269) 343-8170
Fax: (269) 382-8490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 5101013019 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101013019 Michigan

Profile Details

NPI number 1295778801
LBN Legal business name Waterson, David C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jan 3rd, 2024 - about last year

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 1295778801 NPPES
Michigan MEDICAID 4844348
Michigan Other 7778363
Michigan Other P00357559
Michigan Other 0M21440047
Michigan Other 1022112
Michigan Other 0153311575
Michigan Other 200000001163
Michigan Other 200000001163
Michigan Other 0153311575
Michigan Other 1022112
Michigan Other 1022112

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