Watson, Zachary Edward

Watson, Zachary Edward is an individual health care provider with primary practice located at 335 Glessner Ave , Mansfield OH 44903-2269. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Watson, Zachary Edward can be contacted via phone (419) 522-2734.

Contact Information

Primary practice address
335 Glessner Ave Mansfield OH 44903-2269
Phone: (419) 522-2734
Fax: (419) 522-2240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA. 12908-NP Ohio

Profile Details

NPI number 1275810608
LBN Legal business name Watson, Zachary Edward
Credentials RN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2011
Last updated Jan 25th, 2022 - about 2 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 1275810608 NPPES
Ohio MEDICAID 0061136

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