Watkins, William Juan
Watkins, William Juan is an individual health care provider with primary practice located at 2121 Line Ave , Shreveport LA 71104-2126. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Watkins, William Juan can be contacted via phone (318) 226-9441.Contact Information
Primary practice address
2121 Line Ave
Shreveport LA 71104-2126
Phone: (318) 226-9441
Fax: (318) 425-3236
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 009207 | Louisiana |
Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 009207 | Louisiana |
Profile Details
NPI number | 1932105327 |
---|---|
LBN Legal business name | Watkins, William Juan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2005 |
Last updated | Sep 23rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932105327 | NPPES |
Louisiana | MEDICAID | 1063584 |
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