Latham, Micah

Latham, Micah is an individual health care provider with primary practice located at 1208 Brownwood St , Malvern AR 72104-2202. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Latham, Micah can be contacted via phone (540) 446-9297.

Contact Information

Primary practice address
1208 Brownwood St Malvern AR 72104-2202
Phone: (540) 446-9297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 213314 Arkansas

Profile Details

NPI number 1730783606
LBN Legal business name Latham, Micah
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2020
Last updated Nov 23rd, 2020 - 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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