Timothy Waite is a student in an organized health care education training program in Indianapolis, IN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Timothy Waite NPI is 1063099109. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1130 W MICHIGAN ST
INDIANAPOLIS, IN
ZIP 46202-209
Phone: (317) 274-0076
Fax: (317) 274-0256
The NPI 1063099109 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/25/2021 and was last updated on 6/14/2022.