Watkins, Wilfred E

Watkins, Wilfred E is an sole proprietor health care provider with primary practice located at 1613 12Th Ave Rd Ste B, Nampa ID 83686-6183. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Watkins, Wilfred E can be contacted via phone (208) 466-2461.

Contact Information

Primary practice address
1613 12Th Ave Rd Ste B Nampa ID 83686-6183
Phone: (208) 466-2461
Fax: (208) 466-2488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X M2768 Idaho

Profile Details

NPI number 1710981162
LBN Legal business name Watkins, Wilfred E
Credentials M.D., F.A.C.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Oct 12th, 2010 - about 14 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 1710981162 NPPES
Idaho Other 1710981162 INDIVIDUAL NPI
Idaho Other 1370335 INDIVIDUAL NPI
Idaho Other 1598811945 INDIVIDUAL NPI
Idaho MEDICAID 002409100 INDIVIDUAL NPI

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