Latiolais, Thomas G.

Latiolais, Thomas G. is an sole proprietor health care provider with primary practice located at 1025 Highway 80 , Haughton LA 71037-7425. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Latiolais, Thomas G. can be contacted via phone (318) 949-0539.

Contact Information

Primary practice address
1025 Highway 80 Haughton LA 71037-7425
Phone: (318) 949-0539
Fax: (318) 949-0759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 016345 Louisiana

Profile Details

NPI number 1679578116
LBN Legal business name Latiolais, Thomas G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Jun 23rd, 2019 - about 5 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 1679578116 NPPES
Louisiana MEDICAID 1338583

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