Watt, Tim J

Watt, Tim J is an individual health care provider with primary practice located at 4141 5Th St , Rapid City SD 57701-6021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Watt, Tim J can be contacted via phone (605) 341-2424.

Contact Information

Primary practice address
4141 5Th St Rapid City SD 57701-6021
Phone: (605) 341-2424
Fax: (605) 341-4547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 5120 South Dakota

Profile Details

NPI number 1477512762
LBN Legal business name Watt, Tim J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jun 11th, 2020 - about 4 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 1477512762 NPPES
South Dakota MEDICAID 6100850
South Dakota MEDICAID 118029100
South Dakota Other 0040744
South Dakota Other 22176

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