Herring, Latrecia M

Herring, Latrecia M is an individual health care provider with primary practice located at 560 N Camino Mercado Suite 7, Casa Grande AZ 85122-5759. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Herring, Latrecia M can be contacted via phone (520) 836-5538.

Contact Information

Primary practice address
560 N Camino Mercado Suite 7 Casa Grande AZ 85122-5759
Phone: (520) 836-5538
Fax: (520) 836-6998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34157 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34157 Arizona

Profile Details

NPI number 1215923453
LBN Legal business name Herring, Latrecia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Feb 23rd, 2010 - about 14 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 1215923453 NPPES
Arizona MEDICAID 972613

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