Latham, David E

Latham, David E is an individual health care provider with primary practice located at 1104 Tusculum Blvd Suite 114, Greeneville TN 37745-4091. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Latham, David E can be contacted via phone (423) 639-0941.

Contact Information

Primary practice address
1104 Tusculum Blvd Suite 114 Greeneville TN 37745-4091
Phone: (423) 639-0941
Fax: (423) 638-3401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN0000039907 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 8864 Tennessee

Profile Details

NPI number 1487623682
LBN Legal business name Latham, David E
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Sep 15th, 2014 - about 10 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 1487623682 NPPES
Tennessee Other 3052082 BC/BS, BLUECARE, TENNCARE
Tennessee MEDICAID 3603521 BC/BS, BLUECARE, TENNCARE

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