Individual provider · Type 1 NPI

Charles Evan Watts, SERVICE PROVIDER

Driver · Champlain, NY

NPI number 1821430307 Active

Practice location

1069 Main Street
Champlain, NY 12919-5444

Call (518) 298-3512 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X819628063 (NY)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1821430307

Charles Evan Watts, SERVICE PROVIDER's National Provider Identifier is 1821430307, issued on Jul 24, 2013. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Champlain, NY. The record was last updated on Jul 24, 2013.