Latcham, Gary

Latcham, Gary is an individual health care provider with primary practice located at 312 E Main St , Marshalltown IA 50158-1888. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Latcham, Gary can be contacted via phone (641) 844-2294.

Contact Information

Primary practice address
312 E Main St Marshalltown IA 50158-1888
Phone: (641) 844-2294
Fax: (641) 844-2297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 01896 Iowa

Profile Details

NPI number 1417038399
LBN Legal business name Latcham, Gary
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Feb 15th, 2019 - about 5 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 1417038399 NPPES
Iowa MEDICAID 0475582
Iowa Other 39066

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