Latimer, Edward A

Latimer, Edward A is an sole proprietor health care provider with primary practice located at 24 Portland Pl , Montclair NJ 07042-2822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Latimer, Edward A can be contacted via phone (973) 744-1880.

Contact Information

Primary practice address
24 Portland Pl Montclair NJ 07042-2822
Fax: (973) 746-9575
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MA54004 New Jersey

Profile Details

NPI number 1194810895
LBN Legal business name Latimer, Edward A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1194810895 NPPES
New Jersey Other P0601356-639734Z OXFORD

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