Watkins, Larry E

Watkins, Larry E is an individual health care provider with primary practice located at 301 E Maumee St Ste 201 , Angola IN 46703-2012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Watkins, Larry E can be contacted via phone (260) 665-2164.

Contact Information

Primary practice address
301 E Maumee St Ste 201 Angola IN 46703-2012
Phone: (260) 665-2164
Fax: (260) 665-3932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01025697 Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01025697 Indiana

Profile Details

NPI number 1083604714
LBN Legal business name Watkins, Larry E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Nov 15th, 2022 - about 2 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 1083604714 NPPES
Indiana Other 000000226066 ANTHEM ID FOR ANESTHESIA
Indiana MEDICAID 100329360 ANTHEM ID FOR ANESTHESIA
Indiana Other 000000088994 ANTHEM ID FOR ANESTHESIA
Indiana Other 000000697433 ANTHEM ID FOR ANESTHESIA

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