Watson, Susan Austin

Watson, Susan Austin is an individual health care provider with primary practice located at 11081 Forest Pines Dr , Raleigh NC 27614-7655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Watson, Susan Austin can be contacted via phone (252) 231-0424.

Contact Information

Primary practice address
11081 Forest Pines Dr Raleigh NC 27614-7655
Fax: (252) 231-0580
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 30512 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101039474 Virginia

Profile Details

NPI number 1184685646
LBN Legal business name Watson, Susan Austin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Nov 8th, 2019 - about 5 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 1184685646 NPPES
North Carolina Other 86013 BCBS
North Carolina MEDICAID 8986013 BCBS

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