Watters, Latasha Marie

Watters, Latasha Marie is an sole proprietor health care provider with primary practice located at 4 E B St , Wellston OH 45692-1214. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Watters, Latasha Marie can be contacted via phone (740) 418-0804.

Contact Information

Primary practice address
4 E B St Wellston OH 45692-1214
Phone: (740) 418-0804
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN.180214.MEDS.IV Ohio
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1326775842
LBN Legal business name Watters, Latasha Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2022
Last updated Aug 4th, 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 1326775842 NPPES
Ohio MEDICAID 0181588

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