Lathi, Ellen S

Lathi, Ellen S is an sole proprietor health care provider with primary practice located at 110 Cedar St Ste 110, Wellesley MA 02481-3527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Lathi, Ellen S can be contacted via phone (781) 591-8300.

Contact Information

Primary practice address
110 Cedar St Ste 110 Wellesley MA 02481-3527
Fax: (781) 591-8320
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 41279 Massachusetts

Profile Details

NPI number 1740276674
LBN Legal business name Lathi, Ellen S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated Jul 25th, 2017 - about 7 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 1740276674 NPPES
Massachusetts MEDICAID 0104825

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