Watt, Melvin

Watt, Melvin is an individual health care provider with primary practice located at 3919 S 19Th St , Tacoma WA 98405-1414. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Watt, Melvin can be contacted via phone (253) 752-5677.

Contact Information

Primary practice address
3919 S 19Th St Tacoma WA 98405-1414
Fax: (253) 756-8936
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00002583 Washington

Profile Details

NPI number 1821055096
LBN Legal business name Watt, Melvin
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1821055096 NPPES
Washington MEDICAID 8384976

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