David C Waterson in East Lansing - Sports Medicine
David C Waterson - NPI 1295778801
David C Waterson is a Sports Medicine in East Lansing, Michigan. David C Waterson practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for David C Waterson is 1295778801. The last update date is 2023-11-27.
David C Waterson's current location address is 2900 Hannah Blvd, East Lansing, Michigan. You can contact this provider via phone number 5173191831 and fax number 5176642930. The mailing address for David C Waterson is 2900 Hannah Blvd, East Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David C Waterson |
|---|---|
| Address | 2900 Hannah Blvd, East Lansing, Michigan |
| Phone Number | 5173191831 |
| Fax Number | 5176642930 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1295778801 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 2900 Hannah Blvd |
|---|---|
| City | East Lansing |
| State | Michigan (MI) |
| Post Code | 488235384 |
| Phone Number | 5173191831 |
| Fax Number | 5176642930 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 5101013019 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0M21440047 | MI | MEDICARE ADVANTAGE | |
| 1022112 | MI | MCLAREN HEALTH PLAN-COMMERCIAL | |
| 200000001163 | MI | PHP FAMILYCARE | |
| 153311575 | MI | BLUE CARE NETWORK | |
| 153311575 | MI | BLUE CROSS BLUE SHIELD | |
| P00357559 | MI | RAILROAD MEDICARE | |
| 1022112 | MI | MCLAREN HEALTH PLAN-MEDICAID | |
| 1022112 | MI | MCLAREN HEALTH ADVANTAGE | |
| 200000001163 | MI | PHP | |
| 7778363 | MI | AETNA |
Post Comment/ Review Below
What is the David C Waterson's 1295778801?
The David C Waterson's NPI (National Provider Identifier) Number is 1295778801. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where David C Waterson's facilities are situated?
The facilities of David C Waterson are physically located at the following address: 2900 Hannah Blvd, East Lansing, MI, 488235384.
What is the David C Waterson's area of specialization and corresponding taxonomy classification?
The David C Waterson's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.
On what date did the David C Waterson receive its 1295778801 assignment from the Centers for Medicare & Medicaid Services?
The David C Waterson was assigned its 1295778801 by the Centers for Medicare & Medicaid Services on 2006-06-13.
When was the information regarding David C Waterson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David C Waterson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-11-27.