Watson, Douglas Lee

Watson, Douglas Lee is an individual health care provider with primary practice located at 1806 E 10Th St , Jeffersonville IN 47130-6478. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Watson, Douglas Lee can be contacted via phone (317) 490-1629.

Contact Information

Primary practice address
1806 E 10Th St Jeffersonville IN 47130-6478
Phone: (317) 490-1629
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 1030062854 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71013479A Indiana

Profile Details

NPI number 1770211658
LBN Legal business name Watson, Douglas Lee
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2022
Last updated Jan 5th, 2024 - about 2 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 1770211658 NPPES
Kentucky Other K258180 MEDICARE
Kentucky MEDICAID 300010664 MEDICARE
Kentucky MEDICAID 7100535740 MEDICARE
Kentucky Other IN3604 MEDICARE

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