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NPI Code Detail

MEDICARE: CALVERT BRYAN WAIT M.D.

MEDICARE:   CALVERT BRYAN WAIT  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician01032361AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110175692OTHERINRAILROAD MEDICARE
23937240004OTHERINMEDICARE DMEPOS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053398156
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALVERT BRYAN WAIT M.D.
Provider Business Mailing Address
First Line : 360 N OAK ST
Second Line :
City : COLUMBIA CITY
State : IN
Zip : 46725-1608
Country : US
Telephone Number : 260-244-0238
Fax Number : 260-244-1976
Provider Business Practice Location Address
First Line : 360 N OAK ST
Second Line :
City : COLUMBIA CITY
State : IN
Zip : 46725-1608
Country : US
Telephone Number : 260-244-0238
Fax Number : 260-244-1976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 07/09/2015

Similar Medicare Providers

1518989086 — DR. JOHN JOSEPH MEIER D.D.S.
Practice Location Address:
350 N OAK ST
COLUMBIA CITY, IN
46725-1608
Practice Phone: 260-248-8128
Practice Fax: 260-248-8130
1043425333 — HALEY SLOFFER MA, LMFT, LCAC
Practice Location Address:
360 N OAK ST
COLUMBIA CITY, IN
46725-1608
Practice Phone: 260-244-0264
Practice Fax: 260-244-1983
1841423027 — C. BRYAN WAIT, M.D., INTERNAL MEDICINE,P.C.
Practice Location Address:
360 N OAK ST
COLUMBIA CITY, IN
46725-1608
Practice Phone: 260-244-0238
Practice Fax: 260-244-1976
1508175274 — BREE RICKER MSW
Practice Location Address:
360 N OAK ST
COLUMBIA CITY, IN
46725-1608
Practice Phone: 260-249-5432
Practice Fax:
1447662515 — ABIGAIL NICHOLSON LMHC
Practice Location Address:
360 N OAK ST
COLUMBIA CITY, IN
46725-1608
Practice Phone: 260-244-0264
Practice Fax: 260-244-1983
1932511995 — LYNDSAY HAYES
Practice Location Address:
360 N OAK ST
COLUMBIA CITY, IN
46725-1608
Practice Phone: 260-244-0264
Practice Fax: 260-244-1983

Directions to “ CALVERT BRYAN WAIT M.D.” Practice Location

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