Provider Demographics
NPI:1932459021
Name:WATSON, ALAN HOWARD (RRT)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:HOWARD
Last Name:WATSON
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:ALAN
Other - Middle Name:HOWARD
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RRT
Mailing Address - Street 1:3505 LINDSEY ST
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-6619
Mailing Address - Country:US
Mailing Address - Phone:423-802-8089
Mailing Address - Fax:
Practice Address - Street 1:3505 LINDSEY ST
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-6619
Practice Address - Country:US
Practice Address - Phone:423-802-8089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-15
Last Update Date:2012-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25902279G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeneral Care