Watters, R. Brad

Watters, R. Brad is an individual health care provider with primary practice located at 10 Severance Cir , Cleveland Heights OH 44118-1533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Watters, R. Brad can be contacted via phone (216) 621-5600.

Contact Information

Primary practice address
10 Severance Cir Cleveland Heights OH 44118-1533
Phone: (216) 621-5600
Fax: (216) 297-2542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-047800 Ohio

Profile Details

NPI number 1164517587
LBN Legal business name Watters, R. Brad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2008 - about 16 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 1164517587 NPPES
Ohio MEDICAID 0547617

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