Watts, Micah M
Watts, Micah M is an individual health care provider with primary practice located at 44 E Jimmie Leeds Rd Ste 101 , Galloway NJ 08205-9599. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Watts, Micah M can be contacted via phone (609) 677-9729.Contact Information
Primary practice address
44 E Jimmie Leeds Rd Ste 101
Galloway NJ 08205-9599
Phone: (609) 677-9729
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD443009 | Pennsylvania |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA10015600 | New Jersey |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD443009 | Pennsylvania |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 25MA10015600 | New Jersey |
Profile Details
NPI number | 1154598480 |
---|---|
LBN Legal business name | Watts, Micah M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2008 |
Last updated | Dec 4th, 2019 - about 5 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 | 1154598480 | NPPES |
New Jersey | Other | 771305 | NJ MEDICARE |
New Jersey | MEDICAID | 0294187 | NJ MEDICARE |
New Jersey | Other | 171293 | NJ MEDICARE |
New Jersey | Other | 771293 | NJ MEDICARE |
New Jersey | Other | 771300 | NJ MEDICARE |
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