Waits, Samuel Jacob
Waits, Samuel Jacob is an individual health care provider with primary practice located at 208 Mcfarland Cir N , Tuscaloosa AL 35406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Waits, Samuel Jacob can be contacted via phone (205) 345-7000.Contact Information
Primary practice address
208 Mcfarland Cir N
Tuscaloosa AL 35406
Phone: (205) 345-7000
Fax: (205) 758-3906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 15458 | Mississippi |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25568 | Alabama |
Profile Details
| NPI number | 1336187947 |
|---|---|
| LBN Legal business name | Waits, Samuel Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336187947 | NPPES |
| Mississippi | MEDICAID | 00124360 | |
| Mississippi | MEDICAID | 009917105 | |
| Mississippi | Other | 300138237 |
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