Latino, Peter Sam

Latino, Peter Sam is an individual health care provider with primary practice located at 1214 Spring St. #1 , Jeffersonville IN 47130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Latino, Peter Sam can be contacted via phone (812) 283-3993.

Contact Information

Primary practice address
1214 Spring St. #1 Jeffersonville IN 47130
Phone: (812) 283-3993
Fax: (812) 283-7294
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01040253A Indiana

Profile Details

NPI number 1215021738
LBN Legal business name Latino, Peter Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 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 1215021738 NPPES
Indiana MEDICAID 100367810

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