Individual
MR. JAMES ROBERT WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. C.C.C.-A
Contact information
Practice address
4242 FARNAM ST, SUITE 144, OMAHA, NE 68131-2806
(402) 552-3054
(402) 552-3059
Mailing address
4242 FARNAM ST, SUITE 144, OMAHA, NE 68131-2806
(402) 552-3054
(402) 552-3059
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
206
NE
237600000X
Audiologist-Hearing Aid Fitter
071
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72-1539572-00
—
NE
05
—
72-1539572-01
—
NE
Enumeration date
08/09/2007
Last updated
08/09/2007
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