Watkins, Jason

Watkins, Jason is an individual health care provider with primary practice located at 2745 W Anklam Rd Apt A , Tucson AZ 85745-3702. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Watkins, Jason can be contacted via phone (520) 721-1887.

Contact Information

Primary practice address
2745 W Anklam Rd Apt A Tucson AZ 85745-3702
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1124178033
LBN Legal business name Watkins, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 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 1124178033 NPPES
Arizona MEDICAID 10967

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