Waite, Thomas Michael

Waite, Thomas Michael is an sole proprietor health care provider with primary practice located at 102 Castle Court , Elizabeth City NC 27909. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Waite, Thomas Michael can be contacted via phone (252) 335-9239.

Contact Information

Primary practice address
102 Castle Court Elizabeth City NC 27909
Phone: (252) 335-9239
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003627 North Carolina

Profile Details

NPI number 1194879536
LBN Legal business name Waite, Thomas Michael
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Feb 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194879536 NPPES
North Carolina MEDICAID 6003559
North Carolina Other 1278C

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