Watters, Melissa Marie
Watters, Melissa Marie is an individual health care provider with primary practice located at 1010 W 2Nd St , Bloomington IN 47403-2217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Watters, Melissa Marie can be contacted via phone (812) 334-3955.Contact Information
Primary practice address
1010 W 2Nd St
Bloomington IN 47403-2217
Phone: (812) 334-3955
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01063285A | Indiana |
Profile Details
NPI number | 1205966959 |
---|---|
LBN Legal business name | Watters, Melissa Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 6th, 2007 |
Last updated | Feb 28th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205966959 | NPPES |
Indiana | Other | 090540030 | MEDICARE |
Indiana | MEDICAID | 200871840 | MEDICARE |
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