Waite, Justin Richard

Waite, Justin Richard is an individual health care provider with primary practice located at 5900 Cedar Ln , Columbia MD 21044-3635. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Waite, Justin Richard can be contacted via phone (443) 718-4067.

Contact Information

Primary practice address
5900 Cedar Ln Columbia MD 21044-3635
Phone: (443) 718-4067
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0005749 Maryland

Profile Details

NPI number 1003203845
LBN Legal business name Waite, Justin Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2015
Last updated Mar 22nd, 2018 - about 7 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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