Watrous, Robert William

Watrous, Robert William is an individual health care provider with primary practice located at 250 S G St , San Bernardino CA 92410-3320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Watrous, Robert William can be contacted via phone (909) 382-7100.

Contact Information

Primary practice address
250 S G St San Bernardino CA 92410-3320
Phone: (909) 382-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 50616 Colorado

Profile Details

NPI number 1013084821
LBN Legal business name Watrous, Robert William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Apr 13th, 2021 - about 3 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 1013084821 NPPES
Colorado Other 022362 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 63631717 KAISER COMMERCIAL NUMBER

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