Latimer, Earl A
Latimer, Earl A is an individual health care provider with primary practice located at 115 E 19Th St , Roswell NM 88201-5110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Latimer, Earl A can be contacted via phone (575) 622-7600.Contact Information
Primary practice address
115 E 19Th St
Roswell NM 88201-5110
Phone: (575) 622-7600
Fax: (575) 622-3856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 92-93 | New Mexico |
Profile Details
| NPI number | 1023069812 |
|---|---|
| LBN Legal business name | Latimer, Earl A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Dec 3rd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023069812 | NPPES |
| New Mexico | MEDICAID | 07167 |
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