Latos, Derrick L

Latos, Derrick L is an individual health care provider with primary practice located at 58 16Th St Suite 500, Wheeling WV 26003-3660. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Latos, Derrick L can be contacted via phone (304) 242-7751.

Contact Information

Primary practice address
58 16Th St Suite 500 Wheeling WV 26003-3660
Phone: (304) 242-7751
Fax: (304) 242-7254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 10953 West Virginia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35051747L Ohio

Profile Details

NPI number 1962463273
LBN Legal business name Latos, Derrick L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Mar 6th, 2008 - about 16 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 1962463273 NPPES
West Virginia Other 10953B HPUOV
West Virginia MEDICAID 0344854 HPUOV
West Virginia MEDICAID 0077242000 HPUOV

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