Watson, Derek

Watson, Derek is an individual health care provider with primary practice located at 1610 Miller Park Way , Milwaukee WI 53214-3604. He recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Watson, Derek can be contacted via phone (414) 672-3801.

Contact Information

Primary practice address
1610 Miller Park Way Milwaukee WI 53214-3604
Fax: (414) 672-6026
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 193697-30 Wisconsin

Profile Details

NPI number 1619568730
LBN Legal business name Watson, Derek
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2021
Last updated Feb 1st, 2021 - about 4 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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