Waite, Peter D
Waite, Peter D is an individual health care provider with primary practice located at 619 19Th St S , Birmingham AL 35249-1900. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Waite, Peter D can be contacted via phone (205) 934-4011.Contact Information
Primary practice address
619 19Th St S
Birmingham AL 35249-1900
Phone: (205) 934-4011
Fax: (205) 297-9411
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 03805 | Alabama |
Profile Details
| NPI number | 1871561688 |
|---|---|
| LBN Legal business name | Waite, Peter D |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jun 15th, 2011 - about 15 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 | 1871561688 | NPPES |
| Alabama | MEDICAID | 009944575 | |
| Alabama | Other | 051519858 |
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