Watson, Jane L

Watson, Jane L is an individual health care provider with primary practice located at 2608 Old Fair Rd , Grand Island NE 68803-5271. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Watson, Jane L can be contacted via phone (308) 382-5297.

Contact Information

Primary practice address
2608 Old Fair Rd Grand Island NE 68803-5271
Phone: (308) 382-5297
Fax: (308) 382-5315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 810 Nebraska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 660 Nebraska

Profile Details

NPI number 1770688657
LBN Legal business name Watson, Jane L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770688657 NPPES
Nebraska Other 1124130364 NPI FOR CORPORATION
Nebraska MEDICAID 10025173100 NPI FOR CORPORATION

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