Watson, Deitra Ann

Watson, Deitra Ann is an sole proprietor health care provider with primary practice located at 1011 18Th St N 2B, Fargo ND 58102-3238. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is her primary health care specialty. Watson, Deitra Ann can be contacted via phone (701) 212-9200.

Contact Information

Primary practice address
1011 18Th St N 2B Fargo ND 58102-3238
Phone: (701) 212-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 011245235 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X 011245235 Illinois

Profile Details

NPI number 1437345402
LBN Legal business name Watson, Deitra Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2007
Last updated Dec 20th, 2007 - about 17 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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