Waitley, Norman

Waitley, Norman is an individual health care provider with primary practice located at 10985 Cody St Suite 110, Overland Park KS 66210-1219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Waitley, Norman can be contacted via phone (913) 339-9437.

Contact Information

Primary practice address
10985 Cody St Suite 110 Overland Park KS 66210-1219
Fax: (913) 339-9538
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 4877 Kansas

Profile Details

NPI number 1992807564
LBN Legal business name Waitley, Norman
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Oct 19th, 2012 - about 13 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 1992807564 NPPES
Missouri MEDICAID 2508767
Missouri MEDICAID 100084500B

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