Waite, Jay Russell

Waite, Jay Russell is an individual health care provider with primary practice located at 4755 Pasture Rd , Fallon NV 89496-5000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Waite, Jay Russell can be contacted via phone (775) 426-3130.

Contact Information

Primary practice address
4755 Pasture Rd Fallon NV 89496-5000
Phone: (775) 426-3130
Fax: (775) 426-3133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1114064789
LBN Legal business name Waite, Jay Russell
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
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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