Watson, Thomas G

Watson, Thomas G is an individual health care provider with primary practice located at 8 Oak Grove Rd Suite 1, Pine Grove PA 17963-1226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Watson, Thomas G can be contacted via phone (570) 345-3321.

Contact Information

Primary practice address
8 Oak Grove Rd Suite 1 Pine Grove PA 17963-1226
Fax: (570) 345-6470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD044873E Pennsylvania

Profile Details

NPI number 1295701084
LBN Legal business name Watson, Thomas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Feb 2nd, 2011 - about 14 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 1295701084 NPPES
Pennsylvania MEDICAID 001304510

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