Waite, Jeanette Ila
Waite, Jeanette Ila is an individual health care provider with primary practice located at 1212 E Sherman Blvd , Muskegon MI 49444-1879. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Waite, Jeanette Ila can be contacted via phone (231) 672-3648.Contact Information
Primary practice address
1212 E Sherman Blvd
Muskegon MI 49444-1879
Phone: (231) 672-3648
Fax: (231) 672-3838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 573775 | Michigan |
Profile Details
| NPI number | 1659554996 |
|---|---|
| LBN Legal business name | Waite, Jeanette Ila |
| Credentials | REGISTERED DIETITIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2007 |
| Last updated | May 4th, 2010 - about 15 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 | 1659554996 | NPPES |
| Michigan | Other | N94150005 | MEDICARE PTAN |
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