Waite, Glenn R.

Waite, Glenn R. is an sole proprietor health care provider with primary practice located at 232 S Whisperwood Way , Boise ID 83709-4900. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Waite, Glenn R. can be contacted via phone (208) 350-6450.

Contact Information

Primary practice address
232 S Whisperwood Way Boise ID 83709-4900
Phone: (208) 350-6450
Fax: (208) 350-6449
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8577 Nevada
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A38237 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23679 Colorado
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X A38237 California
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 23679 Colorado
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 8577 Nevada
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X M-11148 Idaho

Profile Details

NPI number 1295742948
LBN Legal business name Waite, Glenn R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2006
Last updated Jun 25th, 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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