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
Phone: (502) 222-0598
Fax: (502) 222-7446
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X | 90544 | Kentucky |
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | SA067 | Kentucky |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871652586 | NPPES |
Kentucky | Other | 000000210309 | ANTHEM |
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