Wetterhahn, Regina M

Wetterhahn, Regina M is an individual health care provider with primary practice located at 1575 Washington St , Watertown NY 13601-9371. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wetterhahn, Regina M can be contacted via phone (315) 786-7300.

Contact Information

Primary practice address
1575 Washington St Watertown NY 13601-9371
Phone: (315) 786-7300
Fax: (315) 786-7310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 006674 New York

Profile Details

NPI number 1407898257
LBN Legal business name Wetterhahn, Regina M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 7th, 2012 - about 12 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 1407898257 NPPES
New York MEDICAID 00354316

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