Waite, John Robert
Waite, John Robert is an individual health care provider with primary practice located at 25495 Medical Center Dr Ste 304 , Murrieta CA 92562-4904. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Waite, John Robert can be contacted via phone (951) 696-7474.Contact Information
Primary practice address
25495 Medical Center Dr Ste 304
Murrieta CA 92562-4904
Phone: (951) 696-7474
Fax: (951) 696-7575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 16820 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 16820 | California |
Profile Details
| NPI number | 1063496289 |
|---|---|
| LBN Legal business name | Waite, John Robert |
| Credentials | PT DPT OCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Dec 24th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063496289 | NPPES |
| California | Other | P01284430 | RR MEDICARE |
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