Latkovich, Predrag M

Latkovich, Predrag M is an individual health care provider with primary practice located at 300 Main St , Lewiston ME 04240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Latkovich, Predrag M can be contacted via phone (207) 795-2330.

Contact Information

Primary practice address
300 Main St Lewiston ME 04240
Phone: (207) 795-2330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 10349 Montana
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 018040 Maine

Profile Details

NPI number 1356313845
LBN Legal business name Latkovich, Predrag M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Apr 28th, 2024 - about 2 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 1356313845 NPPES
Other P00010468 MEDICARE RAILROAD
Other 000094035 MEDICARE RAILROAD
MEDICAID 0061251 MEDICARE RAILROAD
MEDICAID 433587899 MEDICARE RAILROAD

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