Watson, Jennifer L

Watson, Jennifer L is an individual health care provider with primary practice located at 40 Berkshire Ct Suite 1, Wyomissing PA 19610-1224. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Watson, Jennifer L can be contacted via phone (610) 374-7400.

Contact Information

Primary practice address
40 Berkshire Ct Suite 1 Wyomissing PA 19610-1224
Fax: (610) 374-1641
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS012501 Pennsylvania

Profile Details

NPI number 1427041573
LBN Legal business name Watson, Jennifer L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Nov 1st, 2013 - about 11 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 1427041573 NPPES
Pennsylvania MEDICAID 1019145950001

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