Latimer, Thomas M

Latimer, Thomas M is an individual health care provider with primary practice located at 1900 Silver Lake Rd Nw Suite 110, New Brighton MN 55112-1786. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Latimer, Thomas M can be contacted via phone (651) 628-4993.

Contact Information

Primary practice address
1900 Silver Lake Rd Nw Suite 110 New Brighton MN 55112-1786
Phone: (651) 628-4993
Fax: (651) 628-0411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12301SOCIALWORK Minnesota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12301 Minnesota

Profile Details

NPI number 1205917341
LBN Legal business name Latimer, Thomas M
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 2nd, 2014 - about 11 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 1205917341 NPPES
Minnesota MEDICAID 856475200

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