Provider Demographics
NPI:1225027287
Name:WATSON, JANET C
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:C
Last Name:WATSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2543
Mailing Address - Country:US
Mailing Address - Phone:724-942-0705
Mailing Address - Fax:724-942-4726
Practice Address - Street 1:4050 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2543
Practice Address - Country:US
Practice Address - Phone:724-942-0705
Practice Address - Fax:724-942-4726
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0079082OtherU S HEALTHCARE
PA212870OtherUPMC HEALTHPLAN
PA79082OtherAETNA
PA16431OtherHEALTHAMERICA
PA0018241270002Medicaid
PAB20318OtherAMERIHEALTH
PA220318OtherBLUE CROSS BLUE SHIELD
PA79082OtherAETNA