Latini, Jerilyn Marie
Latini, Jerilyn Marie is an individual health care provider with primary practice located at 1400 Vfw Pkwy Mail Code Wx-112, West Roxbury MA 02132-4927. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Latini, Jerilyn Marie can be contacted via phone (857) 203-6551.Contact Information
Primary practice address
1400 Vfw Pkwy Mail Code Wx-112
West Roxbury MA 02132-4927
Phone: (857) 203-6551
Fax: (857) 203-6660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 7321 | Alaska |
Profile Details
| NPI number | 1710078076 |
|---|---|
| LBN Legal business name | Latini, Jerilyn Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Feb 3rd, 2016 - about 9 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 | 1710078076 | NPPES |
| Alaska | MEDICAID | 1577485 |
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