Waits, John Bryan

Waits, John Bryan is an individual health care provider with primary practice located at 405 Belcher St , Centreville AL 35042-2946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Waits, John Bryan can be contacted via phone (205) 926-2992.

Contact Information

Primary practice address
405 Belcher St Centreville AL 35042-2946
Fax: (205) 316-7675
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25230 Alabama

Profile Details

NPI number 1962422337
LBN Legal business name Waits, John Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Feb 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962422337 NPPES
Alabama Other 0515-20913 BLUE CROSS
Alabama MEDICAID 009957265 BLUE CROSS

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