Wallace Carlisle Watson in Olean - General Practice
Wallace Carlisle Watson - NPI 1073554150
Wallace Carlisle Watson is a General Practice in Olean, New York. Wallace Carlisle Watson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wallace Carlisle Watson is 1073554150. The last update date is 2013-05-28.
Wallace Carlisle Watson's current location address is 2211 W State St, Olean, New York. You can contact this provider via phone number 7163722708 and fax number 7163728682. The mailing address for Wallace Carlisle Watson is 2211 W State St, Olean, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Carlisle Watson |
|---|---|
| Address | 2211 W State St, Olean, New York |
| Phone Number | 7163722708 |
| Fax Number | 7163728682 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1073554150 |
|---|---|
| Provider Enumeration Date | 2006-06-09 |
| Last Updated Date | 2013-05-28 |
Provider Mailing Address Detail
| Address | 2211 W State St |
|---|---|
| City | Olean |
| State | New York (NY) |
| Post Code | 147601951 |
| Phone Number | 7163722708 |
| Fax Number | 7163728682 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 12551 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490352 | NY | IHA | |
| 10257702 | UNIVERA | ||
| 407113852 | RAILROAD MEDICARE | ||
| 508499002 | NY | BCWNY | |
| 2598491 | GHI | ||
| 1531593 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wallace Carlisle Watson by the Centers for Medicare & Medicaid Services (CMS)?
The Wallace Carlisle Watson has been assigned the NPI (National Provider Identifier) 1073554150. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Wallace Carlisle Watson?
The Wallace Carlisle Watson is physically situated at 2211 W State St, in the city of Olean, state of NY, with the postal code 147601951.
What is Wallace Carlisle Watson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wallace Carlisle Watson is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073554150 to Wallace Carlisle Watson?
The Centers for Medicare & Medicaid Services assigned the 1073554150 to Wallace Carlisle Watson on 2006-06-09.
When was the information related to Wallace Carlisle Watson most recently updated or refreshed?
The details pertaining to the Wallace Carlisle Watson, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-05-28.
NPI Number: 1932102142
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