Latta, George Haworth

Latta, George Haworth is an individual health care provider with primary practice located at 400 W Mineral King Ave , Visalia CA 93291-6237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Latta, George Haworth can be contacted via phone (800) 717-5670.

Contact Information

Primary practice address
400 W Mineral King Ave Visalia CA 93291-6237
Phone: (800) 717-5670
Fax: (866) 757-9283
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 050705 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 30834141205 Utah
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD0000020432 Tennessee

Profile Details

NPI number 1801956669
LBN Legal business name Latta, George Haworth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Sep 8th, 2010 - about 14 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 1801956669 NPPES
Colorado MEDICAID 01319250
Colorado MEDICAID 309910

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