Individual
DR. NEIL LAWRENCE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 GRANT ST, SUITE 7, GARY, IN 46404-1533
(219) 885-0116
(219) 881-0522
Mailing address
PO BOX 366, GARY, IN 46402-0366
(219) 885-0116
(219) 881-0522
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01039743A
IN
207W00000X
Ophthalmology Physician
036086767
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000219285
ANTHEM - BCBS
IN
05
—
036086767
—
IL
05
—
100147800A
—
IN
01
—
180041574
RAILROAD MEDICARE
IN
Enumeration date
08/05/2006
Last updated
09/12/2007
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