Watson, Carla Patrice

Watson, Carla Patrice is an individual health care provider with primary practice located at 730 45Th Ave , Munster IN 46321-2818. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Watson, Carla Patrice can be contacted via phone (219) 934-2652.

Contact Information

Primary practice address
730 45Th Ave Munster IN 46321-2818
Phone: (219) 934-2652
Fax: (219) 934-2658
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 036106614 Illinois

Profile Details

NPI number 1356418446
LBN Legal business name Watson, Carla Patrice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Sep 28th, 2017 - about 8 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 1356418446 NPPES
Illinois Other 363236791 TAX ID #
Illinois MEDICAID 036106614 TAX ID #

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