Waite, Odin
Waite, Odin is an sole proprietor health care provider with primary practice located at 1425 N Mclean Blvd Ste 200 , Elgin IL 60123. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Waite, Odin can be contacted via phone (847) 697-6868.Contact Information
Primary practice address
1425 N Mclean Blvd Ste 200
Elgin IL 60123
Phone: (847) 697-6868
Fax: (847) 697-8355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 021002844 | Illinois |
Profile Details
| NPI number | 1477834240 |
|---|---|
| LBN Legal business name | Waite, Odin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2011 |
| Last updated | Apr 16th, 2019 - about 5 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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