Watson, Clyde

Watson, Clyde is an individual health care provider with primary practice located at 5900 Long Meadow Dr , Middletown OH 45005-9687. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Watson, Clyde can be contacted via phone (513) 420-3773.

Contact Information

Primary practice address
5900 Long Meadow Dr Middletown OH 45005-9687
Phone: (513) 420-3773
Fax: (513) 727-2539
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35038821 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.038821 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35.038821 Ohio

Profile Details

NPI number 1952415663
LBN Legal business name Watson, Clyde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Aug 12th, 2015 - about 9 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 1952415663 NPPES
Ohio MEDICAID 0296595
Ohio Other P00193943
Ohio Other 000000032022

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