Waite, Timothy C

Waite, Timothy C is an individual health care provider with primary practice located at 17 Bishop St , Portland ME 04103-2659. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Waite, Timothy C can be contacted via phone (207) 871-1235.

Contact Information

Primary practice address
17 Bishop St Portland ME 04103-2659
Fax: (207) 879-6161
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 015257 Maine

Profile Details

NPI number 1821170598
LBN Legal business name Waite, Timothy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 9th, 2007 - about 18 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 1821170598 NPPES
Maine Other RB7 ANTHEM

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