Wathen, George H
Wathen, George H is an individual health care provider with primary practice located at 11345 Pembrooke Sq Suite 103, Waldorf MD 20603-4804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wathen, George H can be contacted via phone (301) 645-8144.Contact Information
Primary practice address
11345 Pembrooke Sq Suite 103
Waldorf MD 20603-4804
Phone: (301) 645-8144
Fax: (301) 870-8392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0020629 | Maryland |
Profile Details
| NPI number | 1861453284 |
|---|---|
| LBN Legal business name | Wathen, George H |
| Credentials | MD PA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Feb 15th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861453284 | NPPES |
| Maryland | MEDICAID | 326971000 | |
| Maryland | Other | 110128523 |
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