Wait, Calvert Bryan

Wait, Calvert Bryan is an sole proprietor health care provider with primary practice located at 360 N Oak St , Columbia City IN 46725-1608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wait, Calvert Bryan can be contacted via phone (260) 244-0238.

Contact Information

Primary practice address
360 N Oak St Columbia City IN 46725-1608
Phone: (260) 244-0238
Fax: (260) 244-1976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01032361A Indiana

Profile Details

NPI number 1053398156
LBN Legal business name Wait, Calvert Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2005
Last updated Jul 9th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053398156 NPPES
Indiana Other 110175692 RAILROAD MEDICARE
Indiana Other 3937240004 RAILROAD MEDICARE
Indiana MEDICAID 100263180A RAILROAD MEDICARE

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