Wait, David B

Wait, David B is an individual health care provider with primary practice located at 803 S Main St Ste 210 , Moscow ID 83843. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wait, David B can be contacted via phone (208) 883-6774.

Contact Information

Primary practice address
803 S Main St Ste 210 Moscow ID 83843
Phone: (208) 883-6774
Fax: (208) 883-8155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M8523 Idaho

Profile Details

NPI number 1245306760
LBN Legal business name Wait, David B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Apr 15th, 2019 - about 6 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 1245306760 NPPES
Idaho MEDICAID 806365900

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