Waite, Bruce Kevin

Waite, Bruce Kevin is an individual health care provider with primary practice located at 1000 First Dr Nw , Austin MN 55912-2941. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Waite, Bruce Kevin can be contacted via phone (507) 433-7351.

Contact Information

Primary practice address
1000 First Dr Nw Austin MN 55912-2941
Phone: (507) 433-7351
Fax: (507) 668-2975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X DO1972 Maine
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X DO17052 Oregon
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 62771 Minnesota

Profile Details

NPI number 1851394530
LBN Legal business name Waite, Bruce Kevin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 21st, 2022 - about 4 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 1851394530 NPPES
Oregon MEDICAID 025226

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