| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BO JAMES WATINS | 1346962107 | 2022-09-16 |
Bo James Watins is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1346962107. Registration indicates Bo James Watins is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Bo James Watins |
| Practice Office Address | 2026 DIVISION ST BELLINGHAM, WA US |
| Practice Office Telephone | 3608127220 |
| Practice Office Fax | 8448070646 |
| Mailing Address | 2026 DIVISION ST BELLINGHAM, WA 982268058 US |
| Business Telephone | 3608127220 |
| Business Fax | 8448070646 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | CO61304708
WA |