Watters, Michael
Watters, Michael is an individual health care provider with primary practice located at 1380 Lusitana Street, #709 , Honolulu HI 96813. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Watters, Michael can be contacted via phone (808) 523-0941.Contact Information
Primary practice address
1380 Lusitana Street, #709
Honolulu HI 96813
Phone: (808) 523-0941
Fax: (808) 523-0942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD5544 | Hawaii |
Profile Details
| NPI number | 1912940149 |
|---|---|
| LBN Legal business name | Watters, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1912940149 | NPPES |
| Hawaii | MEDICAID | 087647-01 |
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