Watts, David O

Watts, David O is an individual health care provider with primary practice located at 1023 New Moody Ln Suite 102, La Grange KY 40031-9177. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is his primary health care specialty. Watts, David O can be contacted via phone (502) 222-0598.

Contact Information

Primary practice address
1023 New Moody Ln Suite 102 La Grange KY 40031-9177
Fax: (502) 222-7446
Website:

Profile Details

NPI number 1871652586
LBN Legal business name Watts, David O
Credentials CST SFA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Mar 3rd, 2016 - about 8 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 1871652586 NPPES
Kentucky Other 000000210309 ANTHEM

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