Watson, Justin J

Watson, Justin J is an individual health care provider with primary practice located at 2119 Regent St , Madison WI 53726-3941. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Watson, Justin J can be contacted via phone (360) 305-4988.

Contact Information

Primary practice address
2119 Regent St Madison WI 53726-3941
Phone: (360) 305-4988
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 73952 Wisconsin
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MED-PHYS-LIC-127761 Montana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 73952 Wisconsin
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 127761 Montana

Profile Details

NPI number 1760748008
LBN Legal business name Watson, Justin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2012
Last updated Nov 2nd, 2023 - about last year

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 1760748008 NPPES
Wisconsin MEDICAID 100180924

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