Waite, John Charles
Waite, John Charles is an sole proprietor health care provider with primary practice located at 8501 E Shiloh St , Tucson AZ 85710-2941. He recently has 2 registered licenses in different health care specialties including Agencies / Foster Care Agency, Respite Care Facility / Respite Care, Mental Illness, Child. Agencies / Foster Care Agency is his primary health care specialty. Waite, John Charles can be contacted via phone (520) 490-5906.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Foster Care Agency | 253J00000X | ||
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 2838615 | Arizona |
Profile Details
| NPI number | 1376835561 |
|---|---|
| LBN Legal business name | Waite, John Charles |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2011 |
| Last updated | Aug 13th, 2021 - about 3 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 | 1376835561 | NPPES |
| Arizona | MEDICAID | 613805 |
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