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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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 1932105327 NPPES
Louisiana MEDICAID 1063584

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