Latham, Dalton Enrico

Latham, Dalton Enrico is an individual health care provider with primary practice located at 8521 Kephart Lane , Berrien Springs MI 49103. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Latham, Dalton Enrico can be contacted via phone (269) 277-3260.

Contact Information

Primary practice address
8521 Kephart Lane Berrien Springs MI 49103
Phone: (269) 277-3260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704211443 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704211443 Michigan

Profile Details

NPI number 1194291179
LBN Legal business name Latham, Dalton Enrico
Credentials NP- NURSE PRACTITION
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2018
Last updated Oct 17th, 2018 - about 6 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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