Watson, Karen Sue

Watson, Karen Sue is an individual health care provider with primary practice located at 201 N Mayfair Rd 2Nd Floor, Wauwatosa WI 53226-4216. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Watson, Karen Sue can be contacted via phone (414) 771-8228.

Contact Information

Primary practice address
201 N Mayfair Rd 2Nd Floor Wauwatosa WI 53226-4216
Phone: (414) 771-8228
Fax: (414) 256-2483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35187 Wisconsin

Profile Details

NPI number 1194790378
LBN Legal business name Watson, Karen Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Oct 24th, 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 1194790378 NPPES
Wisconsin MEDICAID 32214500

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