Watters, Bradley J.
Watters, Bradley J. is an individual health care provider with primary practice located at 4409 Nw Anderson Hill Rd , Silverdale WA 98383-6807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Watters, Bradley J. can be contacted via phone (360) 698-6630.Contact Information
Primary practice address
4409 Nw Anderson Hill Rd
Silverdale WA 98383-6807
Phone: (360) 698-6630
Fax: (360) 698-7002
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD00028061 | Washington |
Profile Details
NPI number | 1417987090 |
---|---|
LBN Legal business name | Watters, Bradley J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2006 |
Last updated | Sep 3rd, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417987090 | NPPES |
Washington | Other | 0226209 | L&I |
Washington | Other | 8945708 | L&I |
Washington | Other | P00480581 | L&I |
Washington | MEDICAID | 8128415 | L&I |
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