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
Phone: (508) 363-5000
Fax: (508) 363-7551
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386641025 | NPPES |
| Massachusetts | MEDICAID | 3117405 | |
| Massachusetts | MEDICAID | 001360718 |
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