Latorre, Carlos Alberto
Latorre, Carlos Alberto is an individual health care provider with primary practice located at 1901 Mission 66 , Vicksburg MS 39180-3711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Latorre, Carlos Alberto can be contacted via phone (601) 636-0097.Contact Information
Primary practice address
1901 Mission 66
Vicksburg MS 39180-3711
Phone: (601) 636-0097
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21672 | Mississippi |
Profile Details
| NPI number | 1104088152 |
|---|---|
| LBN Legal business name | Latorre, Carlos Alberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2008 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104088152 | NPPES |
| Mississippi | MEDICAID | 00003502 |
Popular Providers
-
Crasto, Rhys Kurt
2100 Highway 61 N , Vicksburg MS 39183-8211 -
Flowers, Jonathan Grey
1901 Mission 66 , Vicksburg MS 39180-3711 -
Masterson, Robert C
1901 Mission 66 , Vicksburg MS 39180-3711 -
Shaheen, Iffat
2100 Highway 61 N , Vicksburg MS 39183-8211 -
Barnes, John R
1901 Mission 66 , Vicksburg MS 39180-3711 -
Cannon, Robert Michael
1901 Mission 66 , Vicksburg MS 39180-3711 -
Johnston, Walter E
1907 Mission 66 , Vicksburg MS 39180-3711 -
Easterling, Stanley R
104 Mcauley Dr , Vicksburg MS 39183-2825