Waite, Jonathon Wayne

Waite, Jonathon Wayne is an individual health care provider with primary practice located at 159 Trout Ave , Groton CT 06349. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Waite, Jonathon Wayne can be contacted via phone (860) 694-2876.

Contact Information

Primary practice address
159 Trout Ave Groton CT 06349
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1356600027
LBN Legal business name Waite, Jonathon Wayne
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2012
Last updated May 15th, 2012 - about 12 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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