Waite, Brandee Lynn

Waite, Brandee Lynn is an individual health care provider with primary practice located at 4860 Y St Suite 3850, Sacramento CA 95817-2307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Waite, Brandee Lynn can be contacted via phone (916) 734-5291.

Contact Information

Primary practice address
4860 Y St Suite 3850 Sacramento CA 95817-2307
Fax: (916) 734-7838
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X A79238 California

Profile Details

NPI number 1144208885
LBN Legal business name Waite, Brandee Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1144208885 NPPES
California MEDICAID 00A79238

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