Waite, Douglas C

Waite, Douglas C is an individual health care provider with primary practice located at 123 Summer St , Worcester MA 01608-1216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Waite, Douglas C can be contacted via phone (508) 363-5000.

Contact Information

Primary practice address
123 Summer St Worcester MA 01608-1216
Fax: (508) 363-7551
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036071 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 73862 Massachusetts
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036071 Connecticut
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 73862 Massachusetts

Profile Details

NPI number 1386641025
LBN Legal business name Waite, Douglas C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Sep 18th, 2014 - about 11 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 1386641025 NPPES
Massachusetts MEDICAID 3117405
Massachusetts MEDICAID 001360718

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