Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225000000X | Orthotic Fitter |
NPI | 1225027287 |
---|---|
Provider Name | Mrs. Janet C Watson |
First Address | Mc Murray, PA 15317-2543 |
Second Address | Mc Murray, PA 15317-2543 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018241270002 | (05) | PA |
0079082 | U S HEALTHCARE (01) | PA |
16431 | HEALTHAMERICA (01) | PA |
212870 | UPMC HEALTHPLAN (01) | PA |
220318 | BLUE CROSS BLUE SHIELD (01) | PA |
79082 | AETNA (01) | PA |
B20318 | AMERIHEALTH (01) | PA |