| Watson Center For Wellness Inc | |
|
103 S Main St Canton IL 61520-2607 | |
| (309) 649-6813 | |
| Not Available |
| Full Name | Watson Center For Wellness Inc |
|---|---|
| Speciality | Social Worker |
| Location | 103 S Main St, Canton, Illinois |
| Authorized Official Name and Position | Erin Watson (OWNER) |
| Authorized Official Contact | 3096496813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Watson Center For Wellness Inc Po Box 343 Canton IL 61520-0343 Ph: (309) 649-6813 | Watson Center For Wellness Inc 103 S Main St Canton IL 61520-2607 Ph: (309) 649-6813 |
| NPI Number | 1114382652 |
|---|---|
| Provider Enumeration Date | 12/29/2015 |
| Last Update Date | 04/06/2016 |
| Medicare PECOS PAC ID | 9830485531 |
|---|---|
| Medicare Enrollment ID | O20160906002709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114382652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.015219 (Illinois) | Primary |
| Provider Name | Erin Watson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386075430 PECOS PAC ID: 0749576445 Enrollment ID: I20160906002717 |
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