Watts, Michael A

Watts, Michael A is an sole proprietor health care provider with primary practice located at 2963 E Copper Point Dr , Meridian ID 83642-9055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Watts, Michael A can be contacted via phone (208) 322-1730.

Contact Information

Primary practice address
2963 E Copper Point Dr Meridian ID 83642-9055
Fax: (208) 322-1731
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X EC-06-1097 Maine
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M-11231 Idaho

Profile Details

NPI number 1265500938
LBN Legal business name Watts, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2006
Last updated Sep 12th, 2011 - about 13 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 1265500938 NPPES
Idaho Other M-11231 LICENSE

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