Watson, Philip Dean

Watson, Philip Dean is an sole proprietor health care provider with primary practice located at 1203 E Ross Byp Suite A, Tahlequah OK 74464-4133. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Watson, Philip Dean can be contacted via phone (918) 453-1234.

Contact Information

Primary practice address
1203 E Ross Byp Suite A Tahlequah OK 74464-4133
Phone: (918) 453-1234
Fax: (918) 453-9107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1463 Oklahoma

Profile Details

NPI number 1730227299
LBN Legal business name Watson, Philip Dean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2007
Last updated Aug 7th, 2013 - about 12 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 1730227299 NPPES
Oklahoma MEDICAID 200070490 A
Oklahoma MEDICAID 200129810A

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