Watson, Tracy Woodrow

Watson, Tracy Woodrow is an individual health care provider with primary practice located at 17638 Walnut Trl , Chagrin Falls OH 44023-6414. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Nursing Service Providers / Registered Nurse is his primary health care specialty. Watson, Tracy Woodrow can be contacted via phone (440) 708-2964.

Contact Information

Primary practice address
17638 Walnut Trl Chagrin Falls OH 44023-6414
Phone: (440) 708-2964
Fax: (440) 708-0254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN176205 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA03676 Ohio

Profile Details

NPI number 1194720763
LBN Legal business name Watson, Tracy Woodrow
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Jul 9th, 2007 - about 19 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 1194720763 NPPES
Ohio MEDICAID 0176554

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