Watson, Jan D

Watson, Jan D is an sole proprietor health care provider with primary practice located at 2030 W Baseline Rd Suite 182-235, Phoenix AZ 85041-6574. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Watson, Jan D can be contacted via phone (602) 957-2407.

Contact Information

Primary practice address
2030 W Baseline Rd Suite 182-235 Phoenix AZ 85041-6574
Phone: (602) 957-2407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 24951 Arizona

Profile Details

NPI number 1336104108
LBN Legal business name Watson, Jan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2006
Last updated Jun 19th, 2019 - about 5 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 1336104108 NPPES
Other 03-1881 MEDICARE
Other Z148521 MEDICARE
MEDICAID 279689 MEDICARE
Other ZFQ31815 MEDICARE

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