Watson, Myra June

Watson, Myra June is an individual health care provider with primary practice located at 1205 W Broadway , Columbia MO 65203-2125. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Watson, Myra June can be contacted via phone (573) 499-0642.

Contact Information

Primary practice address
1205 W Broadway Columbia MO 65203-2125
Phone: (573) 499-0642
Fax: (573) 449-1787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 108840 Missouri

Profile Details

NPI number 1366448425
LBN Legal business name Watson, Myra June
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Apr 9th, 2014 - about 10 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 1366448425 NPPES
Missouri Other G99626 MERCY
Missouri Other 1911260 MERCY
Missouri Other 143430 MERCY
Missouri Other 7329520 MERCY
Missouri Other 458323 MERCY
Missouri Other 000623655 MERCY
Missouri Other 3100096 MERCY
Missouri Other 390007475 MERCY
Missouri Other 17496 MERCY
Missouri MEDICAID 245327309 MERCY

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