Healthcare Provider Details

I. General information

NPI: 1851940456
Provider Name (Legal Business Name): WATTSWERKS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2019
Last Update Date: 02/26/2020
Certification Date: 02/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 HIGH ST STE 2
AUBURN CA
95603-5153
US

IV. Provider business mailing address

1119 HIGH ST STE 2
AUBURN CA
95603-5153
US

V. Phone/Fax

Practice location:
  • Phone: 530-537-2279
  • Fax: 530-537-2279
Mailing address:
  • Phone: 530-537-2279
  • Fax: 530-537-2279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: ANNA WATTS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 530-537-2279