Watts, Travis Edward
Watts, Travis Edward is an individual health care provider with primary practice located at 3625 Nw 56Th St 5 Corporate Plaza, Oklahoma City OK 73112-4519. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Watts, Travis Edward can be contacted via phone (405) 951-3829.Contact Information
Primary practice address
3625 Nw 56Th St 5 Corporate Plaza
Oklahoma City OK 73112-4519
Phone: (405) 951-3829
Fax: (405) 951-3916
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 11493 | Oklahoma |
Profile Details
NPI number | 1063415743 |
---|---|
LBN Legal business name | Watts, Travis Edward |
Credentials | PHARM.D., CDE, BCPS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2005 |
Last updated | Jul 8th, 2007 - about 18 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 | 1063415743 | NPPES |
Other | 20510562 | CDE | |
Other | 3024935 | CDE | |
Other | 11493 | CDE |
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