Provider Demographics
NPI:1861861114
Name:WATSON, RONALD JAMES III (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JAMES
Last Name:WATSON
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:VEAZIE
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6983
Mailing Address - Country:US
Mailing Address - Phone:207-989-4401
Mailing Address - Fax:207-989-4452
Practice Address - Street 1:1017 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:VEAZIE
Practice Address - State:ME
Practice Address - Zip Code:04401-6983
Practice Address - Country:US
Practice Address - Phone:207-989-4401
Practice Address - Fax:207-989-4452
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR2359111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC33390OtherSTATE LICENSE NUMBER