Lathan, Carolyn Louise

Lathan, Carolyn Louise is an individual health care provider with primary practice located at 7020 36Th Ave , Kenosha WI 53142-3947. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Lathan, Carolyn Louise can be contacted via phone (262) 652-1001.

Contact Information

Primary practice address
7020 36Th Ave Kenosha WI 53142-3947
Phone: (262) 652-1001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 21256031 Wisconsin

Profile Details

NPI number 1558483727
LBN Legal business name Lathan, Carolyn Louise
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jul 8th, 2007 - about 18 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 1558483727 NPPES
Wisconsin Other 39865800 PROVIDER NUMBER

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