Watson, Andrea

Watson, Andrea is an individual health care provider with primary practice located at 1111 Ring Rd , Elizabethtown KY 42701-4900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Watson, Andrea can be contacted via phone (270) 706-1925.

Contact Information

Primary practice address
1111 Ring Rd Elizabethtown KY 42701-4900
Fax: (270) 706-1926
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44759 Kentucky

Profile Details

NPI number 1801036934
LBN Legal business name Watson, Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2009
Last updated May 25th, 2012 - about 13 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 1801036934 NPPES
Kentucky MEDICAID 7100164040

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