Latham, Vicki C

Latham, Vicki C is an individual health care provider with primary practice located at 608 S Hester St , Stillwater OK 74074-4516. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Latham, Vicki C can be contacted via phone (405) 377-8000.

Contact Information

Primary practice address
608 S Hester St Stillwater OK 74074-4516
Phone: (405) 377-8000
Fax: (405) 377-8040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OK725 Oklahoma

Profile Details

NPI number 1790740769
LBN Legal business name Latham, Vicki C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Nov 5th, 2009 - about 16 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 1790740769 NPPES
Oklahoma MEDICAID 200235260A

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