Waite, Dennis Edwin

Waite, Dennis Edwin is an sole proprietor health care provider with primary practice located at 5761 Orchard Dr , Berrien Springs MI 49103-9683. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Waite, Dennis Edwin can be contacted via phone (269) 471-5422.

Contact Information

Primary practice address
5761 Orchard Dr Berrien Springs MI 49103-9683
Phone: (269) 471-5422
Fax: (269) 473-3261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301006392 Michigan

Profile Details

NPI number 1538218110
LBN Legal business name Waite, Dennis Edwin
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 8th, 2007 - about 19 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 1538218110 NPPES
Michigan Other 0A1-4515 BLUE CROSS BLUE SHIELD

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