Watts, Jackson

Watts, Jackson is an individual health care provider with primary practice located at 1080 Marina Village Pkwy Ste 100 , Alameda CA 94501-1078. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Watts, Jackson can be contacted via phone (510) 747-0513.

Contact Information

Primary practice address
1080 Marina Village Pkwy Ste 100 Alameda CA 94501-1078
Phone: (510) 747-0513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1316463433
LBN Legal business name Watts, Jackson
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2017
Last updated Aug 21st, 2017 - about 7 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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