Watson, Scott Dean

Watson, Scott Dean is an individual health care provider with primary practice located at 2333 Knob Creek Rd Ste 16 , Johnson City TN 37604-2007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Watson, Scott Dean can be contacted via phone (423) 975-0764.

Contact Information

Primary practice address
2333 Knob Creek Rd Ste 16 Johnson City TN 37604-2007
Phone: (423) 975-0764
Fax: (423) 975-0141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD0000019488 Tennessee

Profile Details

NPI number 1497732929
LBN Legal business name Watson, Scott Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Apr 10th, 2017 - about 8 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 1497732929 NPPES
Tennessee MEDICAID Q004812

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